| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,835 |
10,968 |
$621K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,025 |
2,628 |
$206K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,401 |
1,509 |
$143K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
479 |
425 |
$52K |
| 90791 |
Psychiatric diagnostic evaluation |
554 |
510 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
827 |
734 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
193 |
190 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
134 |
129 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
57 |
$6K |
| 96160 |
|
1,339 |
912 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
577 |
471 |
$5K |
| 80305 |
|
519 |
459 |
$5K |
| 90686 |
|
253 |
234 |
$4K |
| 90670 |
|
165 |
157 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
28 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$3K |
| 96127 |
|
608 |
525 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
155 |
140 |
$2K |
| 90633 |
|
97 |
95 |
$2K |
| 99406 |
|
164 |
146 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
12 |
$1K |
| 90685 |
|
52 |
50 |
$955.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
93 |
$898.00 |
| 90651 |
|
31 |
30 |
$614.88 |
| 90698 |
|
26 |
26 |
$570.96 |
| 90680 |
|
25 |
24 |
$505.08 |
| 90648 |
|
28 |
26 |
$439.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
17 |
$278.08 |
| 90716 |
|
12 |
12 |
$263.52 |
| 90700 |
|
15 |
15 |
$214.11 |
| 81002 |
|
14 |
13 |
$29.28 |