| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
3,899 |
1,444 |
$804K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,254 |
1,274 |
$739K |
| D0999 |
Unspecified diagnostic procedure, by report |
959 |
883 |
$281K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
450 |
347 |
$105K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
441 |
182 |
$86K |
| H0031 |
Mental health assessment, by non-physician |
145 |
58 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
92 |
$25K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
249 |
141 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
69 |
$13K |
| 90785 |
|
1,568 |
430 |
$13K |
| D1206 |
Topical application of fluoride varnish |
676 |
644 |
$11K |
| D0190 |
|
526 |
513 |
$7K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
23 |
12 |
$4K |
| 99173 |
|
270 |
201 |
$3K |
| D0350 |
|
31 |
28 |
$1K |
| 96127 |
|
929 |
294 |
$922.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
137 |
110 |
$777.98 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$400.00 |
| D1120 |
Prophylaxis - child |
35 |
34 |
$378.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$355.00 |
| 90688 |
|
21 |
17 |
$140.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
296 |
97 |
$0.00 |
| D0240 |
|
14 |
14 |
$0.00 |