| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,933 |
6,742 |
$597K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,998 |
3,880 |
$507K |
| Q9991 |
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
232 |
224 |
$424K |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
65 |
60 |
$115K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
234 |
199 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
258 |
211 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,142 |
1,079 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
131 |
131 |
$12K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
660 |
575 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
65 |
56 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
449 |
388 |
$4K |
| D0190 |
|
384 |
363 |
$4K |
| 90686 |
|
155 |
142 |
$3K |
| D0191 |
|
333 |
305 |
$3K |
| 96127 |
|
583 |
550 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$2K |
| 0011A |
|
31 |
31 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$1K |
| 80305 |
|
94 |
79 |
$776.16 |
| 98962 |
|
47 |
24 |
$725.88 |
| 99173 |
|
226 |
206 |
$548.02 |
| 0012A |
|
12 |
12 |
$480.00 |
| T1016 |
Case management, each 15 minutes |
15 |
14 |
$417.99 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
106 |
$402.00 |
| 90670 |
|
16 |
15 |
$307.44 |
| 90723 |
|
15 |
14 |
$285.48 |
| 90647 |
|
14 |
13 |
$263.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
12 |
$143.53 |
| 81003 |
|
14 |
12 |
$20.54 |