| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,357 |
1,249 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,453 |
1,335 |
$92K |
| 90837 |
Psychotherapy, 53 minutes with patient |
852 |
396 |
$57K |
| 90834 |
Psychotherapy, 45 minutes with patient |
272 |
142 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
40 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
72 |
71 |
$2K |
| 96127 |
|
364 |
362 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
162 |
162 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$670.63 |
| 90686 |
|
42 |
39 |
$589.77 |
| 90656 |
|
12 |
12 |
$109.17 |
| 92551 |
|
14 |
14 |
$64.72 |
| 1160F |
|
107 |
106 |
$0.00 |
| 3725F |
|
423 |
416 |
$0.00 |
| 1159F |
|
222 |
210 |
$0.00 |
| 99173 |
|
22 |
22 |
$0.00 |
| 3078F |
|
15 |
14 |
$0.00 |
| 3008F |
|
1,183 |
1,112 |
$0.00 |
| 1036F |
|
862 |
809 |
$0.00 |
| 3074F |
|
16 |
15 |
$0.00 |