| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,597 |
4,958 |
$995K |
| H2020 |
Therapeutic behavioral services, per diem |
2,451 |
1,393 |
$279K |
| 0001A |
|
46 |
23 |
$482.88 |
| 92551 |
|
462 |
392 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
48 |
38 |
$0.00 |
| A9150 |
Non-prescription drugs |
2,895 |
1,601 |
$0.00 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
2,847 |
1,888 |
$0.00 |
| 36416 |
|
109 |
70 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,079 |
2,148 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,854 |
811 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
57 |
$0.00 |
| 85018 |
|
151 |
123 |
$0.00 |
| 96127 |
|
456 |
264 |
$0.00 |
| T1503 |
Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit |
44 |
30 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
125 |
87 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
35 |
28 |
$0.00 |
| 86710 |
|
44 |
38 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
27 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,125 |
1,615 |
$0.00 |
| 81002 |
|
112 |
84 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,573 |
989 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
732 |
440 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
335 |
300 |
$0.00 |
| 96160 |
|
349 |
237 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
122 |
80 |
$0.00 |
| 99173 |
|
423 |
366 |
$0.00 |
| 90621 |
|
15 |
13 |
$0.00 |
| 82948 |
|
50 |
22 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
17 |
$0.00 |
| 91300 |
|
57 |
27 |
$0.00 |