| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,233 |
2,010 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
675 |
605 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
457 |
426 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
181 |
169 |
$9K |
| 3008F |
|
1,019 |
965 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
68 |
66 |
$3K |
| 92551 |
|
282 |
271 |
$3K |
| 99173 |
|
148 |
144 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
29 |
$2K |
| 90686 |
|
506 |
479 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
54 |
38 |
$2K |
| 96127 |
|
360 |
348 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
12 |
$1K |
| 0071A |
|
52 |
40 |
$979.20 |
| 0072A |
|
26 |
20 |
$663.72 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
56 |
$643.54 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
16 |
$523.53 |
| 90656 |
|
36 |
36 |
$392.70 |
| 90670 |
|
17 |
16 |
$44.25 |
| 99000 |
|
15 |
12 |
$39.98 |
| 90723 |
|
13 |
12 |
$33.99 |
| 91307 |
|
90 |
69 |
$0.00 |
| 94760 |
|
17 |
17 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |