| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,188 |
37,004 |
$1.34M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,606 |
9,386 |
$451K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,803 |
5,222 |
$358K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,943 |
4,843 |
$335K |
| 90461 |
|
6,011 |
5,907 |
$236K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,564 |
3,499 |
$234K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,224 |
10,774 |
$156K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,807 |
3,790 |
$107K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,186 |
1,176 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,233 |
1,162 |
$69K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,935 |
2,854 |
$55K |
| 90834 |
Psychotherapy, 45 minutes with patient |
912 |
479 |
$46K |
| 99051 |
|
12,170 |
11,505 |
$27K |
| 90837 |
Psychotherapy, 53 minutes with patient |
315 |
175 |
$23K |
| 95117 |
|
1,748 |
691 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
393 |
383 |
$18K |
| 95115 |
|
958 |
382 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
386 |
372 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
129 |
120 |
$6K |
| 99215 |
Prolong outpt/office vis |
64 |
64 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
77 |
$2K |
| 90671 |
|
1,624 |
1,619 |
$2K |
| 87807 |
|
169 |
164 |
$2K |
| 99460 |
|
41 |
38 |
$2K |
| 90670 |
|
1,434 |
1,399 |
$946.31 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
13 |
$926.53 |
| 99462 |
|
28 |
25 |
$615.75 |
| 92551 |
|
55 |
54 |
$500.10 |
| 96380 |
|
20 |
20 |
$371.60 |
| 94760 |
|
241 |
217 |
$318.10 |
| 90697 |
|
1,932 |
1,907 |
$282.77 |
| 90688 |
|
719 |
702 |
$257.70 |
| 90680 |
|
1,692 |
1,675 |
$246.05 |
| 83655 |
|
13 |
13 |
$145.32 |
| 96127 |
|
32 |
29 |
$102.37 |
| 90633 |
|
513 |
500 |
$79.10 |
| 90687 |
|
314 |
305 |
$68.05 |
| 85018 |
|
26 |
26 |
$54.50 |
| 36416 |
|
27 |
27 |
$52.31 |
| 90619 |
|
26 |
26 |
$13.50 |
| 81002 |
|
60 |
51 |
$10.23 |
| 90651 |
|
13 |
12 |
$5.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90381 |
|
18 |
18 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |