| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
693 |
523 |
$66K |
| 90832 |
Psychotherapy, 30 minutes with patient |
596 |
525 |
$23K |
| 90791 |
Psychiatric diagnostic evaluation |
212 |
207 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,536 |
1,461 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
47 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
52 |
$2K |
| 92551 |
|
101 |
101 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
784 |
751 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$1K |
| 99460 |
|
14 |
14 |
$1K |
| 99462 |
|
24 |
17 |
$989.76 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
30 |
28 |
$765.31 |
| 81025 |
|
168 |
166 |
$719.84 |
| 99173 |
|
93 |
93 |
$572.44 |
| 90686 |
|
26 |
26 |
$528.39 |
| 90670 |
|
29 |
29 |
$517.50 |
| 90633 |
|
15 |
15 |
$270.00 |
| 90647 |
|
12 |
12 |
$216.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
20 |
$206.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$129.60 |
| 85018 |
|
49 |
49 |
$126.55 |
| 86580 |
|
12 |
12 |
$77.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
13 |
$0.00 |