| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2020 |
Therapeutic behavioral services, per diem |
5,671 |
2,068 |
$678K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,723 |
2,681 |
$502K |
| 3078F |
|
2,580 |
1,785 |
$0.00 |
| 1159F |
|
2,812 |
1,915 |
$0.00 |
| 96160 |
|
1,804 |
1,350 |
$0.00 |
| 1160F |
|
2,809 |
1,919 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
91 |
55 |
$0.00 |
| 3725F |
|
334 |
269 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,031 |
1,394 |
$0.00 |
| 0521F |
|
552 |
369 |
$0.00 |
| 99173 |
|
197 |
175 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,229 |
883 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
822 |
477 |
$0.00 |
| 81003 |
|
157 |
115 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,322 |
1,620 |
$0.00 |
| 3008F |
|
475 |
380 |
$0.00 |
| 96127 |
|
1,086 |
697 |
$0.00 |
| 3074F |
|
2,530 |
1,733 |
$0.00 |
| 85018 |
|
130 |
117 |
$0.00 |
| 1036F |
|
406 |
323 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,479 |
1,105 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
667 |
461 |
$0.00 |
| 99384 |
|
69 |
60 |
$0.00 |
| 1125F |
|
122 |
99 |
$0.00 |
| 1126F |
|
16 |
14 |
$0.00 |
| 92551 |
|
145 |
129 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
35 |
$0.00 |
| J3490 |
Unclassified drugs |
16 |
12 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |