| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5145 |
Foster care, therapeutic, child; per diem |
1,498 |
1,386 |
$2.31M |
| H0041 |
Foster care, child, non-therapeutic, per diem |
5,366 |
4,711 |
$2.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
832 |
744 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
314 |
311 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
388 |
351 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
146 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
599 |
594 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
42 |
$6K |
| H0049 |
Alcohol and/or drug screening |
62 |
62 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$3K |
| 92551 |
|
206 |
205 |
$2K |
| 99401 |
|
14 |
13 |
$882.56 |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
13 |
$242.76 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
31 |
30 |
$46.92 |
| 85018 |
|
26 |
26 |
$41.40 |
| 90686 |
|
161 |
152 |
$1.16 |