| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,883 |
4,507 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,795 |
1,672 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,415 |
1,346 |
$75K |
| 3008F |
|
4,801 |
4,618 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
726 |
670 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
635 |
615 |
$34K |
| 90791 |
Psychiatric diagnostic evaluation |
174 |
164 |
$14K |
| 90686 |
|
2,881 |
2,768 |
$14K |
| 92551 |
|
1,068 |
1,021 |
$13K |
| 99173 |
|
543 |
518 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
288 |
276 |
$6K |
| 96127 |
|
1,609 |
1,543 |
$5K |
| 83655 |
|
380 |
354 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
71 |
68 |
$3K |
| 0071A |
|
112 |
89 |
$3K |
| 90656 |
|
185 |
181 |
$2K |
| 90670 |
|
294 |
285 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
45 |
34 |
$2K |
| 0072A |
|
56 |
48 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$2K |
| 90677 |
|
55 |
50 |
$1K |
| 90647 |
|
83 |
79 |
$1K |
| 90723 |
|
124 |
120 |
$880.95 |
| 36416 |
|
302 |
276 |
$763.52 |
| 90680 |
|
70 |
68 |
$686.22 |
| 99421 |
|
57 |
34 |
$333.69 |
| 99000 |
|
93 |
88 |
$324.41 |
| 90633 |
|
12 |
12 |
$151.05 |
| 85018 |
|
44 |
42 |
$94.32 |
| 99177 |
|
96 |
92 |
$21.96 |
| 91308 |
|
14 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 91307 |
|
195 |
164 |
$0.00 |