| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,964 |
6,418 |
$207K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,102 |
3,801 |
$205K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,255 |
1,026 |
$57K |
| 3008F |
|
5,928 |
5,623 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,125 |
1,049 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
721 |
686 |
$32K |
| 92551 |
|
958 |
896 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
120 |
116 |
$9K |
| 90686 |
|
2,589 |
2,478 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
184 |
174 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
150 |
134 |
$7K |
| 99173 |
|
488 |
447 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
230 |
219 |
$6K |
| 96127 |
|
1,629 |
1,539 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
95 |
94 |
$4K |
| 0002A |
|
112 |
109 |
$3K |
| 0001A |
|
98 |
96 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
120 |
107 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
19 |
19 |
$2K |
| 90656 |
|
124 |
121 |
$1K |
| 90672 |
|
56 |
52 |
$812.93 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
36 |
$792.43 |
| 0071A |
|
21 |
19 |
$426.94 |
| 0072A |
|
13 |
12 |
$236.60 |
| 94760 |
|
143 |
131 |
$175.22 |
| 90670 |
|
70 |
62 |
$166.63 |
| 83655 |
|
17 |
14 |
$159.37 |
| 99000 |
|
38 |
27 |
$95.48 |
| 90647 |
|
12 |
12 |
$34.95 |
| 36416 |
|
16 |
15 |
$30.60 |
| 91300 |
|
218 |
200 |
$0.13 |
| 91308 |
|
33 |
33 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
39 |
$0.00 |
| 99177 |
|
15 |
12 |
$0.00 |
| 91307 |
|
56 |
51 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
134 |
$0.00 |