| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,298 |
8,717 |
$4.29M |
| 90834 |
Psychotherapy, 45 minutes with patient |
13,338 |
4,834 |
$552K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,387 |
1,221 |
$219K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
1,266 |
147 |
$154K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,435 |
1,816 |
$149K |
| 90791 |
Psychiatric diagnostic evaluation |
666 |
317 |
$54K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
910 |
195 |
$11K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
197 |
59 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
100 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
95 |
24 |
$979.98 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32 |
32 |
$514.40 |
| D1110 |
Prophylaxis - adult |
18 |
18 |
$310.25 |
| D0210 |
Intraoral - complete series of radiographic images |
17 |
17 |
$224.43 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$172.20 |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$128.56 |
| T1016 |
Case management, each 15 minutes |
35 |
31 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
20 |
16 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
108 |
94 |
$0.00 |