| Code | Description | Claims | Beneficiaries | Total Paid |
| 00003 |
Internal/system code - not a standard HCPCS code |
16,360 |
12,795 |
$2.85M |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,423 |
5,715 |
$994K |
| 90834 |
Psychotherapy, 45 minutes with patient |
459 |
293 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,565 |
4,031 |
$13K |
| H0049 |
Alcohol and/or drug screening |
61 |
60 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
889 |
676 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
86 |
$447.18 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
384 |
327 |
$82.16 |