| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,054 |
10,753 |
$654K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,459 |
3,131 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,847 |
3,352 |
$297K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,527 |
3,322 |
$169K |
| 92552 |
|
5,053 |
3,710 |
$97K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,464 |
2,100 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
633 |
363 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
581 |
486 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,001 |
808 |
$33K |
| 96127 |
|
4,289 |
2,327 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,625 |
1,072 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,371 |
1,972 |
$24K |
| 99383 |
|
218 |
200 |
$19K |
| 99173 |
|
3,708 |
2,744 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
176 |
151 |
$12K |
| 90785 |
|
5,529 |
2,303 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
95 |
38 |
$5K |
| 3008F |
|
2,747 |
2,115 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
45 |
38 |
$2K |
| 90734 |
|
389 |
292 |
$1K |
| 90461 |
|
1,062 |
887 |
$646.24 |
| 90651 |
|
400 |
292 |
$600.00 |
| 98968 |
|
57 |
17 |
$366.08 |
| 85018 |
|
165 |
99 |
$361.03 |
| 82948 |
|
48 |
24 |
$135.91 |
| 36416 |
|
92 |
48 |
$107.20 |
| 90686 |
|
885 |
746 |
$39.80 |
| 82465 |
|
74 |
38 |
$37.52 |
| 90715 |
|
171 |
160 |
$0.00 |
| 99072 |
|
3,441 |
2,732 |
$0.00 |
| 90621 |
|
14 |
12 |
$0.00 |
| 90649 |
|
37 |
35 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 90716 |
|
14 |
12 |
$0.00 |