| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,228 |
2,622 |
$153K |
| H2020 |
Therapeutic behavioral services, per diem |
233 |
107 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,836 |
2,270 |
$33.22 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
260 |
124 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
119 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
928 |
733 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
512 |
432 |
$0.00 |
| 3074F |
|
16 |
14 |
$0.00 |
| 3008F |
|
43 |
34 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
86 |
29 |
$0.00 |