| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,167 |
3,145 |
$317K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
461 |
360 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
187 |
169 |
$13K |
| 99349 |
|
160 |
127 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
40 |
40 |
$6K |
| 99348 |
|
75 |
64 |
$3K |
| 99443 |
|
59 |
46 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
21 |
21 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
18 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
88 |
$1K |
| 90715 |
|
16 |
16 |
$728.17 |
| 0012A |
|
16 |
16 |
$593.45 |
| 0031A |
|
18 |
18 |
$566.31 |
| 90686 |
|
14 |
14 |
$263.44 |
| 0011A |
|
18 |
18 |
$185.22 |