| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5145 |
Foster care, therapeutic, child; per diem |
8,479 |
4,291 |
$7.21M |
| H0041 |
Foster care, child, non-therapeutic, per diem |
9,106 |
7,922 |
$3.12M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
12,244 |
3,105 |
$1.42M |
| 90791 |
Psychiatric diagnostic evaluation |
2,094 |
1,354 |
$692K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
4,210 |
1,308 |
$306K |
| 99215 |
Prolong outpt/office vis |
682 |
603 |
$226K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
496 |
395 |
$57K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
149 |
125 |
$54K |
| 90832 |
Psychotherapy, 30 minutes with patient |
680 |
258 |
$45K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
673 |
110 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
185 |
166 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
143 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
100 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
198 |
157 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
321 |
280 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
83 |
$11K |
| 96112 |
|
58 |
38 |
$10K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
116 |
38 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
62 |
41 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
20 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
214 |
202 |
$3K |
| 92551 |
|
196 |
189 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
18 |
17 |
$144.00 |