| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,157 |
2,951 |
$329K |
| 90837 |
Psychotherapy, 53 minutes with patient |
306 |
138 |
$15K |
| 99215 |
Prolong outpt/office vis |
95 |
91 |
$10K |
| 96127 |
|
1,164 |
1,126 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
64 |
64 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
92 |
$781.44 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$496.56 |
| 90686 |
|
21 |
21 |
$0.00 |