| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,899 |
3,208 |
$522K |
| H2020 |
Therapeutic behavioral services, per diem |
3,796 |
1,930 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,519 |
1,086 |
$0.00 |
| 1036F |
|
855 |
515 |
$0.00 |
| 3079F |
|
159 |
100 |
$0.00 |
| 82962 |
|
267 |
185 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,684 |
2,234 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
465 |
217 |
$0.00 |
| 3075F |
|
82 |
61 |
$0.00 |
| 3074F |
|
159 |
96 |
$0.00 |
| 96127 |
|
411 |
239 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
694 |
487 |
$0.00 |
| 3008F |
|
2,497 |
1,656 |
$0.00 |
| 2000F |
|
116 |
72 |
$0.00 |
| 0011A |
|
132 |
59 |
$0.00 |
| 0012A |
|
144 |
72 |
$0.00 |
| 1034F |
|
243 |
161 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
359 |
257 |
$0.00 |
| 91301 |
|
179 |
104 |
$0.00 |
| 99000 |
|
20 |
15 |
$0.00 |
| 4010F |
|
92 |
61 |
$0.00 |
| 3080F |
|
83 |
53 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
12 |
$0.00 |
| 0001A |
|
117 |
60 |
$0.00 |
| 3725F |
|
702 |
488 |
$0.00 |
| 1159F |
|
682 |
432 |
$0.00 |
| 81003 |
|
474 |
325 |
$0.00 |
| 1160F |
|
630 |
403 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
18 |
13 |
$0.00 |
| 3078F |
|
100 |
65 |
$0.00 |
| 3077F |
|
83 |
55 |
$0.00 |
| 0002A |
|
112 |
57 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
68 |
33 |
$0.00 |
| 91300 |
|
151 |
108 |
$0.00 |