| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,608 |
5,367 |
$1.18M |
| H2020 |
Therapeutic behavioral services, per diem |
5,237 |
2,585 |
$588K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,970 |
2,706 |
$139.55 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,289 |
2,579 |
$77.04 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
4,419 |
2,765 |
$21.75 |
| 90791 |
Psychiatric diagnostic evaluation |
756 |
402 |
$0.00 |
| 96160 |
|
720 |
579 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,348 |
1,570 |
$0.00 |
| 99173 |
|
127 |
119 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
309 |
229 |
$0.00 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
32 |
26 |
$0.00 |
| 91300 |
|
23 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
52 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
81 |
$0.00 |
| 0071A |
|
13 |
13 |
$0.00 |
| A9150 |
Non-prescription drugs |
4,139 |
2,595 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,047 |
477 |
$0.00 |
| 92551 |
|
112 |
106 |
$0.00 |
| 86710 |
|
64 |
45 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| T1503 |
Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit |
16 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$0.00 |