| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
Psychotherapy, 45 minutes with patient |
467 |
201 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
428 |
364 |
$20K |
| 90832 |
Psychotherapy, 30 minutes with patient |
538 |
294 |
$20K |
| 90791 |
Psychiatric diagnostic evaluation |
49 |
38 |
$5K |
| 99401 |
|
104 |
102 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
82 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
34 |
$2K |
| 96137 |
|
27 |
24 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
39 |
$795.72 |
| 96136 |
|
28 |
25 |
$761.07 |
| 96130 |
|
15 |
12 |
$661.90 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
22 |
13 |
$554.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
16 |
$326.52 |
| 99411 |
|
13 |
13 |
$135.98 |
| 90686 |
|
35 |
35 |
$0.00 |