| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
666,615 |
632,751 |
$2.29M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,763 |
1,033 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,464 |
2,353 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,095 |
1,396 |
$54K |
| 99383 |
|
307 |
203 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
246 |
150 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
234 |
118 |
$6K |
| 99384 |
|
195 |
156 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,278 |
674 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
42 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
152 |
127 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
267 |
208 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
224 |
154 |
$1K |
| 92552 |
|
742 |
392 |
$1K |
| 99441 |
|
263 |
239 |
$633.72 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
12 |
$583.83 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$95.00 |
| 99385 |
|
26 |
26 |
$77.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
32 |
$64.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
887 |
684 |
$61.35 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
15 |
$37.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
14 |
$18.85 |
| 99173 |
|
840 |
452 |
$0.00 |
| 90633 |
|
21 |
12 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90686 |
|
52 |
37 |
$0.00 |
| 1111F |
|
14 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |