| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,714 |
15,942 |
$720K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,147 |
12,085 |
$266K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,397 |
2,396 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,049 |
2,049 |
$145K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
893 |
893 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
758 |
755 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
665 |
641 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,175 |
1,127 |
$31K |
| 97803 |
|
5,164 |
5,164 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
278 |
233 |
$15K |
| 99051 |
|
2,868 |
2,826 |
$13K |
| H0049 |
Alcohol and/or drug screening |
894 |
894 |
$10K |
| 90836 |
|
106 |
97 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
31 |
28 |
$1K |
| G9007 |
Coordinated care fee, scheduled team conference |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
78 |
$752.91 |
| 96160 |
|
574 |
574 |
$689.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
88 |
87 |
$616.68 |
| 83655 |
|
26 |
26 |
$304.94 |
| 85018 |
|
191 |
191 |
$237.22 |
| 87081 |
|
37 |
37 |
$190.12 |
| 94760 |
|
422 |
396 |
$159.21 |
| 81002 |
|
15 |
14 |
$13.39 |
| 99072 |
|
271 |
267 |
$0.54 |
| 90686 |
|
3,239 |
3,237 |
$0.00 |
| 90680 |
|
50 |
50 |
$0.00 |
| 90723 |
|
63 |
63 |
$0.00 |
| 90647 |
|
63 |
63 |
$0.00 |
| 36416 |
|
37 |
37 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90734 |
|
71 |
71 |
$0.00 |
| 90633 |
|
184 |
184 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90670 |
|
392 |
392 |
$0.00 |