| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
560 |
374 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
203 |
107 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
69 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
82 |
50 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
67 |
64 |
$1K |
| 96127 |
|
30 |
28 |
$314.44 |
| 90686 |
|
63 |
61 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |