| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,628 |
999 |
$161K |
| H2020 |
Therapeutic behavioral services, per diem |
1,329 |
778 |
$152K |
| 3725F |
|
990 |
640 |
$0.00 |
| 1160F |
|
1,992 |
1,366 |
$0.00 |
| 3078F |
|
650 |
459 |
$0.00 |
| 1159F |
|
1,980 |
1,354 |
$0.00 |
| 96160 |
|
945 |
624 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103 |
87 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
56 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
156 |
81 |
$0.00 |
| 99408 |
|
168 |
141 |
$0.00 |
| 99173 |
|
27 |
15 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
81 |
24 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
29 |
$0.00 |
| 90671 |
|
14 |
13 |
$0.00 |
| 1036F |
|
891 |
585 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
911 |
601 |
$0.00 |
| 3074F |
|
711 |
512 |
$0.00 |
| 96127 |
|
721 |
496 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,042 |
807 |
$0.00 |
| 3008F |
|
1,116 |
832 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
160 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
102 |
44 |
$0.00 |
| 3079F |
|
31 |
24 |
$0.00 |
| 1111F |
|
26 |
13 |
$0.00 |
| 92551 |
|
23 |
12 |
$0.00 |