| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
4,543 |
2,205 |
$970K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,960 |
6,359 |
$687K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,810 |
3,421 |
$270K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
316 |
314 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
181 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
354 |
332 |
$2K |
| 99385 |
|
12 |
12 |
$2K |
| 99383 |
|
26 |
26 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
49 |
48 |
$346.08 |
| 84443 |
Thyroid stimulating hormone (TSH) |
31 |
30 |
$344.40 |
| 80053 |
Comprehensive metabolic panel |
37 |
36 |
$262.34 |
| 84439 |
|
31 |
30 |
$184.81 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
28 |
$148.47 |
| 99173 |
|
56 |
55 |
$77.35 |
| 94760 |
|
29 |
28 |
$50.55 |
| 96127 |
|
13 |
13 |
$50.46 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$0.00 |