| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,718 |
2,138 |
$406K |
| H2020 |
Therapeutic behavioral services, per diem |
985 |
345 |
$132K |
| 1160F |
|
385 |
303 |
$0.00 |
| 3078F |
|
1,329 |
1,020 |
$0.00 |
| 1159F |
|
385 |
303 |
$0.00 |
| 3725F |
|
270 |
237 |
$0.00 |
| 96160 |
|
278 |
248 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
445 |
79 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
16 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
190 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
145 |
61 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$0.00 |
| A9150 |
Non-prescription drugs |
407 |
262 |
$0.00 |
| 3074F |
|
1,322 |
1,016 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
384 |
299 |
$0.00 |
| 96127 |
|
700 |
396 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
543 |
483 |
$0.00 |
| 3008F |
|
695 |
524 |
$0.00 |
| 1036F |
|
677 |
495 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,099 |
1,425 |
$0.00 |
| 1125F |
|
303 |
263 |
$0.00 |
| 1126F |
|
149 |
120 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
240 |
83 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
21 |
$0.00 |
| 97010 |
|
15 |
13 |
$0.00 |