| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
1,487 |
1,384 |
$621K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,253 |
1,566 |
$404K |
| 90837 |
Psychotherapy, 53 minutes with patient |
838 |
409 |
$308K |
| 90832 |
Psychotherapy, 30 minutes with patient |
738 |
309 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
278 |
234 |
$66K |
| T1017 |
Targeted case management, each 15 minutes |
96 |
26 |
$37K |
| 90834 |
Psychotherapy, 45 minutes with patient |
126 |
79 |
$35K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
20 |
16 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
13 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$352.97 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
28 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
13 |
$0.00 |