| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
677 |
463 |
$82K |
| H2020 |
Therapeutic behavioral services, per diem |
419 |
173 |
$39K |
| 1125F |
|
194 |
131 |
$0.00 |
| 96127 |
|
604 |
203 |
$0.00 |
| 3074F |
|
409 |
292 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168 |
110 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
196 |
114 |
$0.00 |
| 3008F |
|
505 |
358 |
$0.00 |
| J1741 |
Injection, ibuprofen, 100 mg |
23 |
13 |
$0.00 |
| 1036F |
|
379 |
253 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
20 |
$0.00 |
| 1126F |
|
118 |
96 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
80 |
$0.00 |
| 90686 |
|
50 |
46 |
$0.00 |
| 90656 |
|
62 |
38 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
358 |
174 |
$0.00 |
| 3078F |
|
401 |
288 |
$0.00 |
| 99173 |
|
19 |
12 |
$0.00 |
| 1159F |
|
113 |
92 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
37 |
$0.00 |
| 1160F |
|
118 |
95 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
16 |
$0.00 |
| 3725F |
|
74 |
63 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
18 |
12 |
$0.00 |