| Code | Description | Claims | Beneficiaries | Total Paid |
| 90832 |
Psychotherapy, 30 minutes with patient |
339 |
279 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
562 |
550 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
936 |
932 |
$9K |
| 96127 |
|
512 |
385 |
$5K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
38 |
36 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
348 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
131 |
93 |
$1K |
| 90480 |
|
28 |
28 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
27 |
$857.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,006 |
551 |
$631.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$349.92 |
| 85018 |
|
12 |
12 |
$25.08 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 90686 |
|
25 |
25 |
$0.00 |
| 90656 |
|
170 |
170 |
$0.00 |