| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
370 |
312 |
$77K |
| 90837 |
Psychotherapy, 53 minutes with patient |
155 |
140 |
$48K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,338 |
4,312 |
$45K |
| 92552 |
|
1,529 |
1,508 |
$45K |
| 99188 |
|
1,680 |
1,673 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,215 |
3,011 |
$31K |
| 90832 |
Psychotherapy, 30 minutes with patient |
187 |
152 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,363 |
2,352 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,462 |
1,434 |
$20K |
| 96127 |
|
1,676 |
1,666 |
$19K |
| 90791 |
Psychiatric diagnostic evaluation |
54 |
53 |
$19K |
| 90785 |
|
440 |
346 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,960 |
2,755 |
$10K |
| 90887 |
|
17 |
16 |
$8K |
| 99381 |
|
74 |
74 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
353 |
349 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,057 |
1,023 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
308 |
307 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,313 |
1,311 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
689 |
688 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
344 |
343 |
$1K |
| 96380 |
|
14 |
12 |
$717.39 |
| 90661 |
|
655 |
637 |
$519.21 |
| 87807 |
|
49 |
49 |
$481.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
658 |
657 |
$453.60 |
| 81002 |
|
57 |
56 |
$204.12 |
| 99050 |
|
70 |
69 |
$143.28 |
| 99177 |
|
14 |
14 |
$57.25 |
| 99173 |
|
122 |
121 |
$53.00 |
| 99072 |
|
388 |
332 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90633 |
|
322 |
320 |
$0.00 |
| 90707 |
|
38 |
38 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
21 |
19 |
$0.00 |
| 90697 |
|
423 |
421 |
$0.00 |
| 90677 |
|
693 |
690 |
$0.00 |
| 90674 |
|
146 |
146 |
$0.00 |
| 90698 |
|
37 |
37 |
$0.00 |
| 90716 |
|
39 |
38 |
$0.00 |
| 90686 |
|
287 |
287 |
$0.00 |
| 90680 |
|
416 |
414 |
$0.00 |
| 90651 |
|
71 |
71 |
$0.00 |
| 90619 |
|
37 |
37 |
$0.00 |
| 90656 |
|
81 |
81 |
$0.00 |