| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,671 |
3,411 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,087 |
1,007 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
798 |
736 |
$41K |
| 3008F |
|
3,324 |
3,157 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
299 |
287 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
240 |
217 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
325 |
277 |
$11K |
| 90686 |
|
2,556 |
2,456 |
$10K |
| 92551 |
|
578 |
538 |
$6K |
| 99173 |
|
327 |
306 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
61 |
54 |
$4K |
| 96127 |
|
826 |
784 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
49 |
46 |
$2K |
| 90656 |
|
172 |
169 |
$2K |
| 83655 |
|
156 |
146 |
$2K |
| 0001A |
|
53 |
52 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
52 |
50 |
$2K |
| 0002A |
|
72 |
62 |
$1K |
| 0072A |
|
36 |
30 |
$864.06 |
| 99188 |
|
47 |
41 |
$547.05 |
| 0071A |
|
18 |
16 |
$544.16 |
| 99000 |
|
157 |
135 |
$502.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
39 |
$498.40 |
| 36416 |
|
180 |
163 |
$429.07 |
| 90670 |
|
110 |
110 |
$335.21 |
| 90723 |
|
42 |
42 |
$301.46 |
| 90647 |
|
43 |
43 |
$296.53 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$293.85 |
| 90677 |
|
14 |
14 |
$220.05 |
| 90680 |
|
28 |
28 |
$81.74 |
| 85018 |
|
25 |
24 |
$74.63 |
| 91300 |
|
143 |
121 |
$0.02 |
| 99177 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
134 |
$0.00 |
| 91307 |
|
77 |
64 |
$0.00 |