| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
2,358 |
1,818 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,088 |
10,587 |
$49K |
| 92552 |
|
1,444 |
1,432 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,436 |
8,943 |
$33K |
| 90791 |
Psychiatric diagnostic evaluation |
410 |
410 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
243 |
242 |
$21K |
| 90686 |
|
1,112 |
1,109 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
181 |
181 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
221 |
218 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
164 |
$13K |
| 99173 |
|
1,290 |
1,284 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
133 |
116 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
122 |
122 |
$5K |
| 90651 |
|
81 |
81 |
$4K |
| 85018 |
|
2,291 |
2,229 |
$4K |
| G9920 |
Screening performed and negative |
91 |
91 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
807 |
803 |
$4K |
| 0011A |
|
96 |
96 |
$3K |
| 99215 |
Prolong outpt/office vis |
202 |
195 |
$3K |
| 0012A |
|
77 |
77 |
$3K |
| 96127 |
|
425 |
422 |
$3K |
| 90656 |
|
137 |
137 |
$3K |
| 90715 |
|
98 |
98 |
$3K |
| 90670 |
|
106 |
104 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
286 |
264 |
$2K |
| 59425 |
|
14 |
12 |
$1K |
| 90671 |
|
40 |
40 |
$1K |
| 0001A |
|
27 |
27 |
$1K |
| 90648 |
|
58 |
54 |
$981.00 |
| 90734 |
|
39 |
39 |
$836.46 |
| 81025 |
|
277 |
265 |
$802.10 |
| 0002A |
|
19 |
19 |
$760.00 |
| 81002 |
|
345 |
334 |
$536.92 |
| 0064A |
|
12 |
12 |
$480.00 |
| 90723 |
|
24 |
24 |
$396.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
27 |
$394.25 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
98 |
98 |
$277.05 |
| 90633 |
|
15 |
15 |
$270.00 |
| 90707 |
|
12 |
12 |
$216.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
16 |
$147.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$82.56 |
| 90662 |
|
22 |
22 |
$75.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$62.22 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$62.17 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$3.94 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
15 |
$3.94 |
| 99499 |
|
75 |
75 |
$0.00 |
| 3078F |
|
169 |
164 |
$0.00 |
| 3044F |
|
163 |
163 |
$0.00 |
| 1036F |
|
352 |
341 |
$0.00 |
| 3074F |
|
194 |
187 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
138 |
138 |
$0.00 |
| 3075F |
|
29 |
28 |
$0.00 |
| 3079F |
|
43 |
42 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |