| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
61 |
52 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
105 |
83 |
$3K |
| 99384 |
|
36 |
36 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
89 |
88 |
$975.52 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
46 |
$820.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
47 |
$800.73 |
| 96127 |
|
152 |
151 |
$251.31 |
| 92587 |
|
28 |
28 |
$243.40 |
| 3008F |
|
13 |
13 |
$0.04 |
| 3074F |
|
128 |
107 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 99173 |
|
59 |
57 |
$0.00 |
| 3078F |
|
104 |
86 |
$0.00 |