| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,623 |
2,442 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,480 |
3,223 |
$115K |
| 3008F |
|
4,184 |
3,987 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
453 |
441 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
237 |
223 |
$11K |
| 90686 |
|
2,441 |
2,352 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
110 |
106 |
$10K |
| 92551 |
|
742 |
699 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
204 |
189 |
$8K |
| 99173 |
|
459 |
432 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
164 |
125 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
96 |
86 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
161 |
142 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
67 |
$4K |
| 96127 |
|
1,088 |
1,041 |
$4K |
| 0072A |
|
137 |
117 |
$3K |
| 0071A |
|
82 |
70 |
$2K |
| 90656 |
|
117 |
113 |
$1K |
| 83655 |
|
73 |
69 |
$819.35 |
| 99188 |
|
43 |
40 |
$486.08 |
| 90672 |
|
15 |
15 |
$397.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$330.86 |
| 99000 |
|
41 |
40 |
$139.22 |
| 36416 |
|
59 |
57 |
$136.50 |
| 85018 |
|
38 |
38 |
$104.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
128 |
$0.00 |
| 91307 |
|
224 |
189 |
$0.00 |
| 91300 |
|
28 |
27 |
$0.00 |
| 91308 |
|
15 |
15 |
$0.00 |