| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,800 |
1,164 |
$214K |
| H2020 |
Therapeutic behavioral services, per diem |
819 |
205 |
$50K |
| 1159F |
|
419 |
292 |
$0.00 |
| 3078F |
|
791 |
504 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
30 |
$0.00 |
| 82947 |
|
51 |
37 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
50 |
18 |
$0.00 |
| 1160F |
|
408 |
286 |
$0.00 |
| 81025 |
|
16 |
14 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
478 |
85 |
$0.00 |
| 3077F |
|
22 |
16 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
641 |
424 |
$0.00 |
| 1125F |
|
157 |
111 |
$0.00 |
| 3075F |
|
61 |
41 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
508 |
338 |
$0.00 |
| 1126F |
|
1,236 |
764 |
$0.00 |
| 3008F |
|
1,555 |
952 |
$0.00 |
| 3074F |
|
939 |
616 |
$0.00 |
| 3079F |
|
129 |
90 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
46 |
29 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
90 |
63 |
$0.00 |
| 96127 |
|
125 |
69 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
93 |
31 |
$0.00 |