| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,012 |
2,843 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,084 |
1,077 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
86 |
86 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
173 |
173 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
71 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
548 |
539 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
102 |
$4K |
| 92551 |
|
617 |
611 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
139 |
133 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$1K |
| 99173 |
|
591 |
591 |
$1K |
| 85018 |
|
1,039 |
1,035 |
$977.51 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
114 |
112 |
$796.86 |
| 81003 |
|
166 |
157 |
$324.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
44 |
$102.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
605 |
539 |
$38.01 |
| 90656 |
|
176 |
176 |
$27.00 |
| 90686 |
|
76 |
76 |
$22.00 |
| 90651 |
|
33 |
33 |
$9.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
176 |
176 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90633 |
|
58 |
58 |
$0.00 |
| 90670 |
|
45 |
45 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |