| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,554 |
4,101 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,680 |
1,530 |
$98K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
509 |
466 |
$15K |
| 3008F |
|
1,296 |
1,226 |
$11K |
| 90686 |
|
1,416 |
1,361 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
76 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
74 |
$3K |
| 99173 |
|
191 |
181 |
$3K |
| 96127 |
|
507 |
472 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
27 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
15 |
$1K |
| 0071A |
|
41 |
37 |
$1K |
| 0072A |
|
40 |
34 |
$1K |
| 99421 |
|
179 |
107 |
$1K |
| 92551 |
|
71 |
65 |
$770.48 |
| 90791 |
Psychiatric diagnostic evaluation |
18 |
15 |
$724.48 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$634.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$550.45 |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
13 |
$459.67 |
| 90656 |
|
38 |
38 |
$301.50 |
| 90670 |
|
13 |
12 |
$172.50 |
| 94760 |
|
16 |
15 |
$15.36 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
209 |
209 |
$0.00 |
| 91307 |
|
88 |
78 |
$0.00 |