| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,975 |
6,704 |
$28K |
| 90791 |
Psychiatric diagnostic evaluation |
402 |
397 |
$27K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,536 |
1,427 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,219 |
3,203 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,277 |
10,646 |
$9K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
587 |
400 |
$4K |
| 99215 |
Prolong outpt/office vis |
280 |
277 |
$3K |
| 98940 |
|
243 |
177 |
$2K |
| 99173 |
|
1,441 |
1,438 |
$1K |
| 85018 |
|
941 |
941 |
$1K |
| 92250 |
|
274 |
274 |
$871.38 |
| 90715 |
|
88 |
88 |
$846.00 |
| 90651 |
|
113 |
113 |
$732.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
145 |
145 |
$589.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,753 |
1,570 |
$491.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
78 |
$461.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
156 |
123 |
$442.56 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
512 |
511 |
$438.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
383 |
379 |
$411.29 |
| 92551 |
|
1,657 |
1,654 |
$306.93 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$286.00 |
| 81025 |
|
94 |
93 |
$155.85 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
51 |
46 |
$133.00 |
| 81003 |
|
58 |
58 |
$62.72 |
| 90686 |
|
436 |
436 |
$36.82 |
| 90670 |
|
199 |
197 |
$32.40 |
| 90647 |
|
192 |
192 |
$21.60 |
| 90723 |
|
85 |
85 |
$10.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
146 |
146 |
$0.00 |
| 90734 |
|
92 |
92 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
451 |
448 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
50 |
50 |
$0.00 |
| 90633 |
|
77 |
77 |
$0.00 |
| 90656 |
|
580 |
580 |
$0.00 |
| 90688 |
|
101 |
101 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 0012A |
|
20 |
20 |
$0.00 |
| 0011A |
|
32 |
32 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |
| 99403 |
|
12 |
12 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |