| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
700 |
497 |
$92.52 |
| 3079F |
|
56 |
56 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,681 |
2,403 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
164 |
162 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
250 |
243 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
189 |
189 |
$0.00 |
| 3075F |
|
32 |
32 |
$0.00 |
| 85018 |
|
123 |
123 |
$0.00 |
| 0011A |
|
29 |
29 |
$0.00 |
| 3074F |
|
56 |
56 |
$0.00 |
| 90686 |
|
84 |
84 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
53 |
49 |
$0.00 |
| 3080F |
|
74 |
64 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
19 |
16 |
$0.00 |
| 90674 |
|
55 |
55 |
$0.00 |
| 0012A |
|
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
26 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 3077F |
|
115 |
99 |
$0.00 |
| 97803 |
|
104 |
104 |
$0.00 |
| 3078F |
|
96 |
94 |
$0.00 |
| 81002 |
|
76 |
75 |
$0.00 |
| 98940 |
|
167 |
152 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
538 |
506 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
160 |
160 |
$0.00 |
| 92552 |
|
123 |
123 |
$0.00 |
| 83037 |
|
28 |
27 |
$0.00 |
| 99401 |
|
189 |
189 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
93 |
88 |
$0.00 |
| 82947 |
|
64 |
62 |
$0.00 |
| 99173 |
|
173 |
173 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
131 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
37 |
37 |
$0.00 |
| 88147 |
|
28 |
28 |
$0.00 |
| 81025 |
|
73 |
72 |
$0.00 |