| Code | Description | Claims | Beneficiaries | Total Paid |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,637 |
1,479 |
$235K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
1,108 |
289 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
525 |
252 |
$61K |
| H0006 |
Alcohol and/or drug services; case management |
513 |
156 |
$47K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
775 |
275 |
$20K |
| 90832 |
Psychotherapy, 30 minutes with patient |
300 |
172 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
129 |
105 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
81 |
70 |
$8K |
| 90785 |
|
594 |
368 |
$6K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
552 |
256 |
$6K |
| D1110 |
Prophylaxis - adult |
103 |
101 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
44 |
44 |
$788.92 |
| D0274 |
Bitewings - four radiographic images |
49 |
49 |
$651.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$332.04 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$204.75 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
35 |
16 |
$0.00 |