| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,719 |
4,945 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,311 |
1,153 |
$62K |
| H0017 |
Behavioral health; residential (hospital residential treatment program), without room and board, per diem |
162 |
12 |
$43K |
| 90791 |
Psychiatric diagnostic evaluation |
178 |
165 |
$25K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
27 |
24 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
707 |
573 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
101 |
66 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
67 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
50 |
50 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
227 |
178 |
$4K |
| 90686 |
|
218 |
186 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
107 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
102 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
27 |
26 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
205 |
166 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
29 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
20 |
12 |
$900.44 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
13 |
$786.32 |
| 90656 |
|
83 |
81 |
$539.61 |
| 36415 |
Collection of venous blood by venipuncture |
178 |
146 |
$493.41 |
| 87807 |
|
13 |
13 |
$225.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
38 |
$151.33 |