| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,976 |
19,777 |
$333K |
| 99443 |
|
1,263 |
967 |
$32K |
| 97803 |
|
1,644 |
1,593 |
$19K |
| 99442 |
|
801 |
572 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
674 |
504 |
$4K |
| 0012A |
|
111 |
109 |
$4K |
| 0011A |
|
123 |
107 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,374 |
883 |
$3K |
| 99441 |
|
134 |
132 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
51 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
605 |
411 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
584 |
484 |
$1K |
| 0013A |
|
83 |
83 |
$840.08 |
| 96160 |
|
13 |
12 |
$450.00 |
| 96127 |
|
250 |
243 |
$353.68 |
| 90686 |
|
300 |
240 |
$128.00 |
| 90750 |
|
17 |
13 |
$70.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$18.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
12 |
$6.00 |
| 91301 |
|
74 |
74 |
$0.00 |
| 3075F |
|
44 |
27 |
$0.00 |
| 1125F |
|
60 |
53 |
$0.00 |
| 3074F |
|
505 |
432 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
378 |
366 |
$0.00 |
| 1126F |
|
106 |
100 |
$0.00 |
| 3037F |
|
127 |
113 |
$0.00 |
| 3496F |
|
41 |
39 |
$0.00 |
| 2010F |
|
90 |
73 |
$0.00 |
| 3500F |
|
15 |
15 |
$0.00 |
| 3008F |
|
262 |
236 |
$0.00 |
| 4050F |
|
232 |
155 |
$0.00 |
| 0513F |
|
90 |
73 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
144 |
141 |
$0.00 |
| 3080F |
|
27 |
13 |
$0.00 |
| 3510F |
|
38 |
38 |
$0.00 |
| 3503F |
|
27 |
27 |
$0.00 |
| 4276F |
|
16 |
16 |
$0.00 |
| 4293F |
|
16 |
16 |
$0.00 |
| 90656 |
|
28 |
14 |
$0.00 |
| 3079F |
|
58 |
41 |
$0.00 |
| 4062F |
|
61 |
57 |
$0.00 |
| 3028F |
|
359 |
326 |
$0.00 |
| 3078F |
|
633 |
546 |
$0.00 |
| 3077F |
|
58 |
40 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
75 |
53 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
351 |
344 |
$0.00 |
| 4270F |
|
16 |
16 |
$0.00 |
| 3498F |
|
46 |
44 |
$0.00 |
| 91312 |
|
18 |
18 |
$0.00 |
| 90611 |
|
51 |
51 |
$0.00 |
| 0124A |
|
21 |
21 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |