| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,020 |
10,606 |
$778K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,027 |
3,025 |
$230K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,661 |
2,661 |
$202K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,334 |
2,271 |
$156K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,567 |
1,567 |
$131K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,843 |
5,823 |
$130K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,799 |
1,313 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
651 |
617 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,223 |
3,220 |
$30K |
| D0190 |
|
1,842 |
1,842 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,911 |
1,870 |
$26K |
| 90785 |
|
2,551 |
1,636 |
$19K |
| 99188 |
|
1,828 |
1,828 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
93 |
90 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
290 |
243 |
$11K |
| 96127 |
|
2,131 |
2,098 |
$6K |
| 83655 |
|
545 |
545 |
$6K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
49 |
39 |
$3K |
| 96161 |
|
1,081 |
1,080 |
$2K |
| 92567 |
|
172 |
163 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
39 |
$1K |
| 81000 |
|
160 |
159 |
$498.30 |
| 0071A |
|
12 |
12 |
$454.20 |
| 36416 |
|
160 |
160 |
$409.48 |
| 87081 |
|
79 |
71 |
$358.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
13 |
$342.75 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
100 |
$260.76 |
| 85018 |
|
36 |
36 |
$81.59 |
| 91307 |
|
33 |
33 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
2,108 |
1,374 |
$0.00 |
| 98966 |
|
220 |
213 |
$0.00 |
| G9001 |
Coordinated care fee, initial rate |
12 |
12 |
$0.00 |