| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,613 |
1,374 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,004 |
754 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
129 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
674 |
562 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
191 |
153 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
182 |
159 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
107 |
70 |
$5K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
53 |
49 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
30 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
47 |
39 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
16 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$776.73 |
| 81002 |
|
359 |
294 |
$524.22 |
| 92551 |
|
111 |
73 |
$512.74 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
24 |
13 |
$397.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
14 |
$191.73 |
| 99173 |
|
205 |
146 |
$188.01 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
20 |
13 |
$92.76 |
| 99401 |
|
18 |
17 |
$82.74 |
| 96160 |
|
319 |
238 |
$67.50 |
| 99429 |
|
150 |
141 |
$62.50 |
| 90734 |
|
15 |
13 |
$0.00 |
| 99411 |
|
13 |
13 |
$0.00 |
| 90656 |
|
47 |
45 |
$0.00 |
| 90686 |
|
438 |
372 |
$0.00 |
| 96127 |
|
47 |
40 |
$0.00 |