| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,643 |
15,977 |
$2.00M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,944 |
1,858 |
$211K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,373 |
1,263 |
$144K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
329 |
297 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
215 |
208 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
138 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
157 |
128 |
$12K |
| T1015 |
Clinic visit/encounter, all-inclusive |
189 |
168 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
66 |
$7K |
| 99051 |
|
165 |
157 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
20 |
13 |
$2K |
| 99381 |
|
38 |
28 |
$1K |
| 92551 |
|
307 |
270 |
$1K |
| 99173 |
|
370 |
330 |
$114.29 |
| 83655 |
|
297 |
269 |
$1.11 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,792 |
1,597 |
$0.01 |
| 90723 |
|
846 |
824 |
$0.00 |
| 90647 |
|
775 |
741 |
$0.00 |
| 90651 |
|
63 |
57 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
33 |
27 |
$0.00 |
| 90680 |
|
581 |
567 |
$0.00 |
| 90686 |
|
416 |
379 |
$0.00 |
| 87807 |
|
16 |
15 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 90716 |
|
17 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
406 |
390 |
$0.00 |
| 90710 |
|
28 |
27 |
$0.00 |
| 90633 |
|
101 |
92 |
$0.00 |
| 90670 |
|
1,318 |
1,261 |
$0.00 |
| 90734 |
|
65 |
57 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
198 |
190 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 99401 |
|
113 |
104 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |