| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
299 |
212 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,783 |
2,657 |
$25K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,478 |
1,469 |
$14K |
| 96127 |
|
1,186 |
1,078 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,023 |
994 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,290 |
754 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
68 |
68 |
$753.74 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
45 |
$439.16 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
13 |
$372.98 |
| 90480 |
|
16 |
16 |
$369.25 |
| 92587 |
|
15 |
15 |
$278.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$184.47 |
| 90686 |
|
80 |
80 |
$115.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$90.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$40.90 |
| 90656 |
|
64 |
64 |
$40.68 |