| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,874 |
7,423 |
$2.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,225 |
9,516 |
$2.16M |
| 90834 |
Psychotherapy, 45 minutes with patient |
755 |
422 |
$210K |
| 96127 |
|
690 |
633 |
$189K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
330 |
289 |
$70K |
| 90837 |
Psychotherapy, 53 minutes with patient |
18 |
14 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
16 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
357 |
310 |
$3K |
| 90686 |
|
150 |
128 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
44 |
28 |
$915.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$455.22 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
19 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
51 |
31 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
55 |
54 |
$0.00 |