| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,985 |
1,722 |
$194K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
443 |
427 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
202 |
200 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
242 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
146 |
$15K |
| 99050 |
|
1,706 |
1,503 |
$11K |
| 99215 |
Prolong outpt/office vis |
68 |
55 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,078 |
968 |
$9K |
| 99401 |
|
471 |
445 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
157 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
83 |
39 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
108 |
105 |
$6K |
| 0071A |
|
128 |
124 |
$5K |
| 90785 |
|
369 |
149 |
$3K |
| 90686 |
|
232 |
228 |
$3K |
| 90715 |
|
182 |
176 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
71 |
64 |
$3K |
| 0072A |
|
62 |
61 |
$2K |
| 0012A |
|
75 |
74 |
$2K |
| 0011A |
|
67 |
64 |
$2K |
| 0001A |
|
44 |
44 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
32 |
13 |
$2K |
| 0004A |
|
43 |
41 |
$2K |
| 90744 |
|
115 |
111 |
$2K |
| 0031A |
|
42 |
41 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
12 |
$1K |
| 0002A |
|
27 |
27 |
$1K |
| 90713 |
|
78 |
75 |
$1K |
| 0074A |
|
30 |
29 |
$1K |
| 90710 |
|
69 |
66 |
$905.87 |
| 0064A |
|
19 |
19 |
$760.00 |
| 90670 |
|
45 |
44 |
$689.23 |
| 90658 |
|
34 |
34 |
$515.74 |
| 90651 |
|
33 |
32 |
$504.21 |
| 90672 |
|
31 |
30 |
$498.22 |
| 0154A |
|
12 |
12 |
$440.00 |
| 90461 |
|
1,002 |
810 |
$432.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,105 |
1,671 |
$379.87 |
| 90716 |
|
14 |
13 |
$236.29 |
| 90734 |
|
14 |
14 |
$202.88 |
| 90633 |
|
13 |
13 |
$196.93 |
| 99051 |
|
20 |
14 |
$150.00 |
| D0120 |
Periodic oral evaluation - established patient |
38 |
24 |
$147.30 |
| D9999 |
Unspecified adjunctive procedure, by report |
20 |
17 |
$82.74 |
| 99173 |
|
13 |
13 |
$22.23 |
| 99072 |
|
2,427 |
2,160 |
$0.00 |
| 91300 |
|
141 |
139 |
$0.00 |
| 91301 |
|
186 |
180 |
$0.00 |
| 91307 |
|
165 |
142 |
$0.00 |
| 91303 |
|
42 |
41 |
$0.00 |