| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
Psychotherapy, 45 minutes with patient |
436 |
287 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
586 |
553 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
158 |
$13K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
126 |
73 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
14 |
$745.28 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
74 |
74 |
$669.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
47 |
$482.69 |
| 0502F |
|
21 |
17 |
$0.00 |