| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
873 |
514 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
819 |
681 |
$54K |
| 90837 |
Psychotherapy, 53 minutes with patient |
434 |
243 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
521 |
358 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
609 |
416 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
55 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
321 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35 |
26 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
15 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
53 |
47 |
$2K |
| 90686 |
|
205 |
167 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
26 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
18 |
12 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
100 |
37 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
30 |
12 |
$495.20 |
| 36415 |
Collection of venous blood by venipuncture |
216 |
175 |
$430.28 |
| 99173 |
|
42 |
31 |
$319.27 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$239.97 |
| T1017 |
Targeted case management, each 15 minutes |
204 |
59 |
$135.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
59 |
37 |
$104.58 |
| 99307 |
|
14 |
13 |
$33.62 |