| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,528 |
6,730 |
$728K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,735 |
8,840 |
$648K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,020 |
411 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,132 |
4,119 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
842 |
705 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
412 |
399 |
$41K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,299 |
1,052 |
$38K |
| 90461 |
|
745 |
677 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
265 |
241 |
$22K |
| 96127 |
|
3,928 |
3,579 |
$15K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
334 |
324 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
199 |
189 |
$10K |
| 99215 |
Prolong outpt/office vis |
61 |
59 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
144 |
87 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
220 |
214 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
37 |
$3K |
| 90674 |
|
120 |
111 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
256 |
253 |
$2K |
| 0071A |
|
97 |
53 |
$2K |
| 90480 |
|
63 |
57 |
$2K |
| 0072A |
|
64 |
42 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
138 |
135 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
68 |
67 |
$2K |
| 97802 |
|
35 |
35 |
$1K |
| 0124A |
|
20 |
20 |
$760.00 |
| 36410 |
|
66 |
63 |
$733.77 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
12 |
$589.01 |
| 0001A |
|
57 |
57 |
$440.00 |
| 99173 |
|
143 |
143 |
$331.20 |
| 90473 |
|
27 |
27 |
$321.20 |
| 0002A |
|
30 |
30 |
$280.00 |
| 99188 |
|
14 |
14 |
$229.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$83.31 |
| 94760 |
|
16 |
14 |
$36.00 |
| 99000 |
|
216 |
206 |
$9.00 |
| 91307 |
|
191 |
117 |
$0.02 |
| 91300 |
|
94 |
89 |
$0.00 |
| 90685 |
|
41 |
41 |
$0.00 |
| 91312 |
|
20 |
20 |
$0.00 |
| 90661 |
|
167 |
163 |
$0.00 |
| 99051 |
|
94 |
93 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90672 |
|
27 |
27 |
$0.00 |
| 91320 |
|
16 |
16 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90686 |
|
1,361 |
1,331 |
$0.00 |
| 90688 |
|
344 |
339 |
$0.00 |
| 90656 |
|
57 |
57 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 91319 |
|
37 |
36 |
$0.00 |