| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
1,851 |
1,413 |
$157K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,061 |
1,064 |
$124K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,332 |
745 |
$56K |
| 90837 |
Psychotherapy, 53 minutes with patient |
588 |
316 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,524 |
1,508 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
794 |
784 |
$15K |
| V5008 |
Hearing screening |
907 |
907 |
$9K |
| 36416 |
|
1,089 |
1,088 |
$8K |
| 99172 |
|
718 |
718 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
160 |
160 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
96 |
95 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
258 |
257 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |
| 90686 |
|
218 |
218 |
$1K |
| 90688 |
|
67 |
67 |
$960.15 |
| 90656 |
|
16 |
16 |
$220.00 |
| 81025 |
|
30 |
28 |
$175.66 |
| 96160 |
|
49 |
49 |
$77.18 |
| 90715 |
|
13 |
13 |
$73.52 |
| 90707 |
|
12 |
12 |
$53.17 |
| 90473 |
|
12 |
12 |
$36.00 |
| 90685 |
|
57 |
57 |
$0.00 |
| 90670 |
|
97 |
97 |
$0.00 |
| 90633 |
|
49 |
49 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |