| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,498 |
8,391 |
$1.35M |
| H2020 |
Therapeutic behavioral services, per diem |
2,271 |
732 |
$109K |
| 0071A |
|
798 |
136 |
$258.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,117 |
681 |
$0.00 |
| 90685 |
|
35 |
21 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
141 |
52 |
$0.00 |
| 90715 |
|
24 |
12 |
$0.00 |
| 3078F |
|
220 |
108 |
$0.00 |
| 90746 |
|
130 |
95 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
89 |
57 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
93 |
54 |
$0.00 |
| 3725F |
|
108 |
67 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,433 |
2,623 |
$0.00 |
| 99383 |
|
341 |
75 |
$0.00 |
| 3079F |
|
146 |
82 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,121 |
2,366 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
436 |
292 |
$0.00 |
| 3008F |
|
159 |
100 |
$0.00 |
| 90632 |
|
43 |
31 |
$0.00 |
| 3075F |
|
23 |
15 |
$0.00 |
| 3074F |
|
356 |
181 |
$0.00 |
| 99384 |
|
436 |
101 |
$0.00 |
| 91305 |
|
104 |
13 |
$0.00 |
| 91301 |
|
227 |
60 |
$0.00 |
| 3351F |
|
16 |
16 |
$0.00 |
| 91307 |
|
760 |
118 |
$0.00 |
| 96127 |
|
144 |
84 |
$0.00 |
| 0001A |
|
86 |
24 |
$0.00 |
| 90686 |
|
132 |
91 |
$0.00 |
| 1034F |
|
18 |
13 |
$0.00 |
| 0011A |
|
84 |
22 |
$0.00 |
| 0012A |
|
60 |
18 |
$0.00 |
| 0072A |
|
113 |
13 |
$0.00 |
| 1036F |
|
48 |
22 |
$0.00 |