| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
6,006 |
3,344 |
$2.99M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,969 |
4,427 |
$2.52M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
680 |
649 |
$400K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
754 |
679 |
$370K |
| 99347 |
|
883 |
713 |
$354K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
617 |
545 |
$268K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
687 |
262 |
$266K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
976 |
955 |
$257K |
| 99441 |
|
136 |
129 |
$54K |
| H0001 |
Alcohol and/or drug assessment |
56 |
54 |
$24K |
| 0011A |
|
44 |
42 |
$22K |
| D9310 |
|
53 |
48 |
$16K |
| 99215 |
Prolong outpt/office vis |
22 |
13 |
$16K |
| D1110 |
Prophylaxis - adult |
46 |
38 |
$15K |
| 90686 |
|
18 |
18 |
$8K |
| D1351 |
Sealant - per tooth |
24 |
19 |
$3K |
| D1330 |
|
54 |
45 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
38 |
13 |
$0.00 |
| 4551F |
|
635 |
621 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
117 |
53 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
12 |
12 |
$0.00 |
| D0190 |
|
27 |
17 |
$0.00 |