| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
693 |
502 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,088 |
5,831 |
$48K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
713 |
707 |
$32K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,062 |
2,055 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
763 |
726 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
426 |
422 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,555 |
1,407 |
$8K |
| 96127 |
|
832 |
830 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
81 |
81 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
419 |
411 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
29 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
80 |
$3K |
| 92552 |
|
87 |
86 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
51 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
378 |
371 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
57 |
$780.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
52 |
$646.81 |
| 90480 |
|
12 |
12 |
$550.44 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$309.04 |
| 99177 |
|
55 |
55 |
$174.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$54.00 |
| 94760 |
|
13 |
12 |
$14.40 |
| 90656 |
|
173 |
172 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |