| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,070 |
9,836 |
$648K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,584 |
3,294 |
$291K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,236 |
881 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,373 |
3,362 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
816 |
815 |
$59K |
| 90837 |
Psychotherapy, 53 minutes with patient |
486 |
349 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
517 |
517 |
$38K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
904 |
870 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
340 |
339 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
333 |
333 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
381 |
380 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,556 |
1,458 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
544 |
529 |
$19K |
| 96127 |
|
3,585 |
3,490 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
568 |
559 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
598 |
595 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
109 |
74 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
319 |
319 |
$6K |
| 90686 |
|
1,520 |
1,520 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
759 |
751 |
$4K |
| 0001A |
|
74 |
74 |
$2K |
| 90461 |
|
183 |
183 |
$2K |
| 0071A |
|
72 |
71 |
$2K |
| 81002 |
|
1,046 |
1,016 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$2K |
| 87428 |
|
20 |
19 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 0002A |
|
51 |
51 |
$2K |
| 87807 |
|
129 |
128 |
$1K |
| 0072A |
|
40 |
40 |
$1K |
| 0003A |
|
40 |
40 |
$1K |
| 0012A |
|
30 |
30 |
$906.74 |
| 90682 |
|
14 |
14 |
$872.46 |
| 0013A |
|
30 |
30 |
$792.23 |
| 92551 |
|
172 |
171 |
$782.42 |
| 0011A |
|
33 |
33 |
$751.32 |
| 0031A |
|
23 |
23 |
$644.42 |
| 90656 |
|
167 |
167 |
$429.59 |
| 94010 |
|
14 |
14 |
$306.76 |
| 90480 |
|
13 |
13 |
$275.81 |
| 90670 |
|
162 |
162 |
$271.57 |
| 90688 |
|
13 |
13 |
$222.45 |
| 96160 |
|
272 |
272 |
$183.27 |
| 36415 |
Collection of venous blood by venipuncture |
1,655 |
1,620 |
$179.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
33 |
$83.04 |
| 99050 |
|
13 |
13 |
$71.75 |
| 99173 |
|
54 |
54 |
$0.00 |
| 91300 |
|
201 |
183 |
$0.00 |
| 91301 |
|
84 |
84 |
$0.00 |
| 90698 |
|
57 |
57 |
$0.00 |
| 90680 |
|
44 |
44 |
$0.00 |
| 91303 |
|
22 |
22 |
$0.00 |
| 91307 |
|
103 |
87 |
$0.00 |