| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
231 |
199 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
730 |
688 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
168 |
167 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
294 |
161 |
$669.35 |
| 96127 |
|
36 |
36 |
$359.45 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
45 |
$253.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$126.49 |
| 99072 |
|
13 |
12 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |