| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2020 |
Therapeutic behavioral services, per diem |
1,440 |
784 |
$125K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,014 |
818 |
$124K |
| 3008F |
|
1,880 |
779 |
$0.00 |
| 3079F |
|
555 |
244 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
207 |
95 |
$0.00 |
| 3074F |
|
788 |
317 |
$0.00 |
| 3080F |
|
286 |
138 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
64 |
$0.00 |
| 1126F |
|
1,160 |
494 |
$0.00 |
| 3075F |
|
227 |
117 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,887 |
806 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
39 |
$0.00 |
| 1125F |
|
270 |
129 |
$0.00 |
| 96127 |
|
30 |
21 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
206 |
71 |
$0.00 |
| J3490 |
Unclassified drugs |
20 |
13 |
$0.00 |
| 90656 |
|
53 |
25 |
$0.00 |
| 1159F |
|
1,495 |
583 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
247 |
132 |
$0.00 |
| 3077F |
|
450 |
205 |
$0.00 |
| 1160F |
|
1,539 |
594 |
$0.00 |
| 3078F |
|
603 |
240 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
91 |
70 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$0.00 |