| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,605 |
1,911 |
$347K |
| H2020 |
Therapeutic behavioral services, per diem |
2,436 |
1,195 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,871 |
1,364 |
$0.00 |
| 3008F |
|
1,125 |
921 |
$0.00 |
| 1036F |
|
799 |
647 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,287 |
881 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
270 |
124 |
$0.00 |
| 4000F |
|
411 |
278 |
$0.00 |
| 3074F |
|
681 |
590 |
$0.00 |
| 96127 |
|
1,023 |
606 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
365 |
267 |
$0.00 |
| 3079F |
|
44 |
43 |
$0.00 |
| 1111F |
|
413 |
334 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
126 |
99 |
$0.00 |
| 92551 |
|
41 |
24 |
$0.00 |
| 90686 |
|
20 |
20 |
$0.00 |
| 3044F |
|
39 |
29 |
$0.00 |
| 3725F |
|
721 |
563 |
$0.00 |
| 1160F |
|
1,797 |
1,335 |
$0.00 |
| 96160 |
|
1,491 |
976 |
$0.00 |
| 3078F |
|
609 |
520 |
$0.00 |
| 1159F |
|
1,882 |
1,393 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
164 |
105 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 99408 |
|
324 |
218 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
182 |
160 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
43 |
25 |
$0.00 |
| 90836 |
|
23 |
14 |
$0.00 |