| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,118 |
621 |
$118K |
| H2020 |
Therapeutic behavioral services, per diem |
1,334 |
561 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,359 |
678 |
$62.65 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
997 |
422 |
$35.00 |
| 80305 |
|
709 |
320 |
$13.86 |
| 99406 |
|
196 |
112 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$0.00 |
| 99386 |
|
22 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
123 |
78 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
36 |
19 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
229 |
85 |
$0.00 |
| 81025 |
|
221 |
96 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
40 |
$0.00 |