| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,618 |
12,675 |
$544K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,896 |
4,570 |
$298K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,422 |
6,033 |
$168K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,043 |
646 |
$44K |
| 99051 |
|
1,755 |
1,574 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
451 |
422 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
267 |
251 |
$13K |
| 87430 |
|
1,125 |
884 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
716 |
688 |
$8K |
| 87428 |
|
228 |
178 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
271 |
260 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
51 |
$3K |
| 99050 |
|
177 |
172 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
229 |
111 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
26 |
$2K |
| 90686 |
|
1,632 |
1,578 |
$1K |
| 0072A |
|
12 |
12 |
$1K |
| 90674 |
|
470 |
404 |
$900.08 |
| 96127 |
|
139 |
129 |
$619.45 |
| 99177 |
|
58 |
56 |
$554.96 |
| 99173 |
|
222 |
216 |
$493.99 |
| 0001A |
|
15 |
12 |
$438.68 |
| 36416 |
|
119 |
106 |
$372.96 |
| 99000 |
|
1,130 |
1,075 |
$212.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$166.32 |
| 90661 |
|
316 |
290 |
$146.17 |
| 96161 |
|
25 |
24 |
$84.53 |
| 90698 |
|
70 |
66 |
$58.68 |
| 85018 |
|
33 |
25 |
$51.69 |
| 90670 |
|
40 |
39 |
$0.06 |
| 90680 |
|
13 |
13 |
$0.02 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
592 |
571 |
$0.00 |
| 90461 |
|
28 |
27 |
$0.00 |
| 98966 |
|
18 |
16 |
$0.00 |