| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,693 |
32,445 |
$16.26M |
| T1016 |
Case management, each 15 minutes |
7,721 |
4,445 |
$190K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
12,127 |
6,741 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,703 |
8,232 |
$14K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
56 |
12 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,966 |
9,420 |
$4K |
| H0031 |
Mental health assessment, by non-physician |
1,097 |
1,033 |
$948.63 |
| 96152 |
|
1,331 |
1,011 |
$320.50 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
994 |
920 |
$173.61 |
| 96158 |
|
1,933 |
1,745 |
$26.10 |
| 82962 |
|
328 |
271 |
$25.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
860 |
799 |
$3.32 |
| 90686 |
|
117 |
103 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
12 |
$0.00 |
| 0001A |
|
126 |
101 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
40 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
39 |
$0.00 |
| 96154 |
|
16 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
61 |
60 |
$0.00 |
| 96127 |
|
16 |
12 |
$0.00 |
| 0072A |
|
51 |
51 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
22 |
13 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 0011A |
|
110 |
44 |
$0.00 |
| 0012A |
|
88 |
42 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
271 |
242 |
$0.00 |
| 81002 |
|
167 |
150 |
$0.00 |
| 96167 |
|
57 |
56 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,013 |
963 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
537 |
509 |
$0.00 |
| 81025 |
|
75 |
70 |
$0.00 |
| 0071A |
|
83 |
83 |
$0.00 |
| 0002A |
|
85 |
80 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
28 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
39 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
52 |
$0.00 |
| 90715 |
|
37 |
31 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
40 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
135 |
$0.00 |
| 0003A |
|
47 |
28 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
44 |
40 |
$0.00 |
| 0013A |
|
24 |
13 |
$0.00 |
| 90461 |
|
16 |
14 |
$0.00 |