| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,006 |
1,460 |
$435K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
1,268 |
136 |
$350K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
324 |
75 |
$164K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
293 |
156 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
82 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168 |
119 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
94 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
77 |
74 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
297 |
276 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
114 |
111 |
$0.00 |
| D0330 |
Panoramic radiographic image |
293 |
268 |
$0.00 |