| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,398 |
1,111 |
$309K |
| 90791 |
Psychiatric diagnostic evaluation |
52 |
51 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
33 |
12 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
73 |
70 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
39 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
19 |
12 |
$2K |
| 90686 |
|
24 |
21 |
$383.53 |
| 90715 |
|
17 |
17 |
$373.32 |
| 90656 |
|
20 |
20 |
$357.21 |
| 90651 |
|
13 |
12 |
$263.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$125.36 |
| 96160 |
|
27 |
27 |
$72.18 |