| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,559 |
7,761 |
$794K |
| 99215 |
Prolong outpt/office vis |
2,246 |
2,050 |
$306K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,523 |
3,309 |
$260K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
425 |
415 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
965 |
952 |
$34K |
| 90461 |
|
294 |
294 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
156 |
155 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
74 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
34 |
31 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
87 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90674 |
|
44 |
44 |
$1K |
| 0071A |
|
15 |
15 |
$560.00 |
| 36415 |
Collection of venous blood by venipuncture |
183 |
179 |
$522.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
24 |
$429.27 |
| 90630 |
|
12 |
12 |
$144.36 |
| 90686 |
|
16 |
16 |
$119.31 |
| 97811 |
|
14 |
12 |
$29.82 |
| 99000 |
|
22 |
19 |
$17.54 |
| 3078F |
|
2,323 |
2,161 |
$0.00 |
| 1160F |
|
1,816 |
1,636 |
$0.00 |
| 1159F |
|
1,817 |
1,637 |
$0.00 |
| 3725F |
|
107 |
106 |
$0.00 |
| 3077F |
|
113 |
106 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
132 |
132 |
$0.00 |
| 1036F |
|
3,010 |
2,588 |
$0.00 |
| 3008F |
|
2,650 |
2,449 |
$0.00 |
| 3074F |
|
2,889 |
2,673 |
$0.00 |
| 1034F |
|
157 |
140 |
$0.00 |
| 3080F |
|
107 |
102 |
$0.00 |
| 3079F |
|
778 |
735 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
32 |
27 |
$0.00 |
| 3075F |
|
143 |
139 |
$0.00 |