| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
Psychotherapy, 45 minutes with patient |
732 |
371 |
$45K |
| 90832 |
Psychotherapy, 30 minutes with patient |
484 |
217 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
317 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
139 |
$5K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
56 |
31 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 90686 |
|
29 |
29 |
$38.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
36 |
$13.97 |
| 99406 |
|
109 |
96 |
$6.81 |
| 1126F |
|
290 |
257 |
$0.00 |
| 1036F |
|
235 |
200 |
$0.00 |
| 1125F |
|
410 |
354 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
33 |
32 |
$0.00 |
| 3080F |
|
92 |
84 |
$0.00 |
| 3079F |
|
141 |
131 |
$0.00 |
| 3074F |
|
389 |
326 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
32 |
28 |
$0.00 |
| 1000F |
|
329 |
268 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$0.00 |
| 3075F |
|
114 |
110 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
48 |
$0.00 |
| 1159F |
|
710 |
586 |
$0.00 |
| 1160F |
|
711 |
586 |
$0.00 |
| 3077F |
|
123 |
107 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
214 |
176 |
$0.00 |
| 3078F |
|
373 |
318 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$0.00 |