| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
902 |
653 |
$146K |
| H2020 |
Therapeutic behavioral services, per diem |
662 |
446 |
$102K |
| 1125F |
|
391 |
291 |
$0.00 |
| 3008F |
|
897 |
646 |
$0.00 |
| 1126F |
|
235 |
181 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
28 |
$0.00 |
| 96127 |
|
1,044 |
336 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
319 |
236 |
$0.00 |
| 3074F |
|
802 |
577 |
$0.00 |
| 1036F |
|
795 |
581 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
100 |
92 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 90674 |
|
26 |
24 |
$0.00 |
| 3078F |
|
688 |
512 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
64 |
58 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
13 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
417 |
313 |
$0.00 |
| 1160F |
|
385 |
290 |
$0.00 |
| 1159F |
|
384 |
290 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
49 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
34 |
$0.00 |