| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
324 |
281 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,904 |
3,678 |
$44K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,691 |
2,659 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,601 |
1,287 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,602 |
1,496 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
65 |
57 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,093 |
1,564 |
$10K |
| 96127 |
|
748 |
720 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
423 |
420 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
274 |
270 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
125 |
$3K |
| 99050 |
|
190 |
189 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
145 |
145 |
$486.43 |
| 99051 |
|
353 |
342 |
$397.44 |
| 92552 |
|
14 |
14 |
$360.50 |
| 99177 |
|
52 |
52 |
$185.52 |
| 92551 |
|
14 |
14 |
$133.28 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
63 |
$82.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
134 |
$20.45 |
| 90686 |
|
48 |
48 |
$20.00 |
| 90656 |
|
110 |
108 |
$0.00 |
| 90661 |
|
238 |
237 |
$0.00 |