| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
82 |
76 |
$13K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
51 |
49 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
31 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
14 |
$773.19 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
30 |
$291.90 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
18 |
18 |
$162.90 |