| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,971 |
3,627 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,002 |
1,898 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
331 |
304 |
$21K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
389 |
370 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
352 |
193 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
243 |
233 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
386 |
320 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
282 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
904 |
878 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
704 |
324 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
62 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
44 |
43 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
333 |
314 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
38 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
42 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
22 |
12 |
$913.14 |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
13 |
$688.12 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
15 |
$495.98 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
16 |
$434.55 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$311.80 |
| 90686 |
|
129 |
125 |
$240.11 |
| 92567 |
|
13 |
13 |
$219.25 |
| 51798 |
|
13 |
12 |
$135.16 |
| 96127 |
|
34 |
28 |
$130.85 |
| 81003 |
|
12 |
12 |
$25.20 |
| 90648 |
|
80 |
79 |
$0.00 |
| 90670 |
|
80 |
79 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |