| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2020 |
Therapeutic behavioral services, per diem |
54,156 |
20,706 |
$5.41M |
| T1015 |
Clinic visit/encounter, all-inclusive |
27,110 |
11,156 |
$2.34M |
| D0999 |
Unspecified diagnostic procedure, by report |
366 |
309 |
$39K |
| 90832 |
Psychotherapy, 30 minutes with patient |
36,822 |
13,868 |
$839.39 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
7,138 |
2,364 |
$452.66 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,509 |
3,505 |
$170.00 |
| 3079F |
|
47 |
38 |
$15.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,511 |
4,379 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
228 |
150 |
$0.00 |
| 1126F |
|
330 |
297 |
$0.00 |
| 1036F |
|
1,981 |
1,084 |
$0.00 |
| 1111F |
|
1,375 |
1,066 |
$0.00 |
| 3008F |
|
2,075 |
1,660 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
814 |
476 |
$0.00 |
| 99402 |
|
150 |
48 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
139 |
134 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
964 |
819 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,214 |
1,048 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
144 |
139 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
30 |
26 |
$0.00 |
| 2001F |
|
2,080 |
1,665 |
$0.00 |
| 1034F |
|
60 |
52 |
$0.00 |
| 1125F |
|
122 |
110 |
$0.00 |
| 85018 |
|
47 |
41 |
$0.00 |
| 87428 |
|
19 |
12 |
$0.00 |
| 92551 |
|
44 |
38 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |
| 96160 |
|
1,576 |
1,038 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
2,277 |
1,681 |
$0.00 |
| 81003 |
|
275 |
226 |
$0.00 |
| 1159F |
|
486 |
424 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
733 |
527 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
483 |
199 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
343 |
169 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
650 |
140 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$0.00 |
| 99401 |
|
67 |
16 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
28 |
$0.00 |
| 4004F |
|
98 |
91 |
$0.00 |
| 80305 |
|
132 |
59 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
23 |
12 |
$0.00 |
| 99173 |
|
44 |
36 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$0.00 |