| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,939 |
4,805 |
$1.02M |
| H2015 |
Comprehensive community support services, per 15 minutes |
2,774 |
1,568 |
$369K |
| S9485 |
Crisis intervention mental health services, per diem |
703 |
410 |
$335K |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
684 |
533 |
$281K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
3,800 |
168 |
$214K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,071 |
644 |
$87K |
| H0040 |
Assertive community treatment program, per diem |
1,459 |
59 |
$77K |
| H2011 |
Crisis intervention service, per 15 minutes |
350 |
128 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,122 |
2,016 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,145 |
1,076 |
$36K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
854 |
775 |
$28K |
| 96164 |
|
907 |
379 |
$16K |
| 96165 |
|
408 |
205 |
$15K |
| 90832 |
Psychotherapy, 30 minutes with patient |
235 |
181 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
20 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
136 |
125 |
$3K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
23 |
12 |
$2K |
| 90887 |
|
127 |
86 |
$2K |
| 0012A |
|
76 |
76 |
$2K |
| 0064A |
|
54 |
54 |
$2K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$2K |
| 90688 |
|
136 |
136 |
$2K |
| 0011A |
|
69 |
69 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
341 |
338 |
$983.32 |
| 92015 |
Determination of refractive state |
70 |
70 |
$875.70 |
| 90632 |
|
13 |
12 |
$645.58 |
| H0046 |
Mental health services, not otherwise specified |
15 |
14 |
$527.42 |
| 99442 |
|
34 |
15 |
$467.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
13 |
$203.76 |
| 96127 |
|
25 |
24 |
$45.12 |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$0.00 |
| 99406 |
|
268 |
266 |
$0.00 |