| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,888 |
3,585 |
$217K |
| 99215 |
Prolong outpt/office vis |
1,667 |
1,438 |
$161K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,591 |
1,372 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
471 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
306 |
289 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
264 |
263 |
$23K |
| 90836 |
|
304 |
255 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,000 |
572 |
$18K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
133 |
127 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
69 |
$6K |
| 90461 |
|
128 |
75 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
28 |
$1K |
| 99177 |
|
503 |
502 |
$660.47 |
| 0011A |
|
15 |
15 |
$553.88 |
| 0012A |
|
13 |
13 |
$520.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
12 |
$507.00 |
| 96127 |
|
79 |
79 |
$299.31 |
| 99173 |
|
12 |
12 |
$55.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$19.20 |
| 90686 |
|
26 |
24 |
$5.07 |
| 99072 |
|
195 |
181 |
$0.00 |