| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,006 |
16,592 |
$594K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
906 |
821 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,355 |
3,214 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
488 |
417 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
336 |
331 |
$26K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
344 |
327 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
754 |
736 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
216 |
172 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
431 |
398 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
202 |
201 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
581 |
543 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
164 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
103 |
97 |
$7K |
| 90686 |
|
863 |
834 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
57 |
56 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
31 |
29 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
33 |
32 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
184 |
81 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 0031A |
|
21 |
18 |
$680.00 |
| 90688 |
|
35 |
35 |
$595.25 |
| 90682 |
|
14 |
12 |
$481.36 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$347.64 |
| 90670 |
|
66 |
64 |
$319.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
12 |
$101.43 |
| 90656 |
|
13 |
12 |
$53.96 |
| 90648 |
|
63 |
63 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |