| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,878 |
2,086 |
$450K |
| H2020 |
Therapeutic behavioral services, per diem |
2,717 |
1,373 |
$288K |
| 1160F |
|
1,161 |
1,001 |
$0.00 |
| 1159F |
|
1,146 |
989 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
59 |
$0.00 |
| 96160 |
|
570 |
426 |
$0.00 |
| 3725F |
|
768 |
460 |
$0.00 |
| 3078F |
|
1,671 |
1,246 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
324 |
131 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
80 |
24 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
264 |
183 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
111 |
26 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
60 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
32 |
19 |
$0.00 |
| 99173 |
|
24 |
13 |
$0.00 |
| 1125F |
|
633 |
481 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,142 |
773 |
$0.00 |
| 3008F |
|
2,123 |
1,482 |
$0.00 |
| 1036F |
|
1,474 |
967 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,323 |
1,051 |
$0.00 |
| 3074F |
|
1,729 |
1,275 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,033 |
680 |
$0.00 |
| 96127 |
|
1,329 |
407 |
$0.00 |
| 3044F |
|
104 |
46 |
$0.00 |
| 1126F |
|
135 |
104 |
$0.00 |
| 90656 |
|
135 |
83 |
$0.00 |
| 90686 |
|
42 |
42 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$0.00 |