| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,040 |
1,726 |
$127K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,149 |
1,024 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
853 |
736 |
$77K |
| 90832 |
Psychotherapy, 30 minutes with patient |
723 |
422 |
$29K |
| 96127 |
|
1,224 |
836 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
536 |
462 |
$8K |
| 92551 |
|
881 |
793 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
76 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
105 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
133 |
123 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
40 |
$4K |
| 99173 |
|
391 |
362 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
144 |
132 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
26 |
18 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
44 |
13 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
181 |
155 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
94 |
86 |
$1K |
| 99384 |
|
17 |
12 |
$1K |
| 99177 |
|
131 |
116 |
$1K |
| 87430 |
|
63 |
56 |
$854.26 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
68 |
54 |
$579.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
33 |
$536.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
29 |
$496.64 |
| 94760 |
|
194 |
157 |
$441.75 |
| 92552 |
|
14 |
12 |
$379.22 |
| 99401 |
|
12 |
12 |
$341.40 |
| 97802 |
|
67 |
54 |
$313.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$220.44 |
| 87807 |
|
13 |
12 |
$123.14 |
| 90686 |
|
56 |
53 |
$106.34 |
| 99000 |
|
80 |
74 |
$100.65 |
| H0049 |
Alcohol and/or drug screening |
33 |
24 |
$43.24 |
| 96160 |
|
296 |
228 |
$36.13 |
| 85018 |
|
13 |
13 |
$30.55 |
| D0190 |
|
28 |
28 |
$0.20 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90688 |
|
23 |
22 |
$0.00 |