| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0041 |
Foster care, child, non-therapeutic, per diem |
194,435 |
10,947 |
$4.48M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
26,417 |
5,895 |
$3.20M |
| S5145 |
Foster care, therapeutic, child; per diem |
43,496 |
1,980 |
$3.18M |
| 12170 |
|
876 |
873 |
$2.63M |
| 12200 |
|
6,387 |
6,384 |
$2.49M |
| 12160 |
|
1,367 |
1,367 |
$1.19M |
| 99215 |
Prolong outpt/office vis |
2,882 |
2,441 |
$671K |
| 90791 |
Psychiatric diagnostic evaluation |
1,322 |
1,187 |
$308K |
| 99402 |
|
2,194 |
1,777 |
$247K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
2,096 |
542 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
644 |
618 |
$166K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
493 |
456 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
458 |
402 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
230 |
204 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
326 |
$42K |
| 99403 |
|
222 |
175 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
29 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
16 |
$3K |
| 99401 |
|
51 |
51 |
$3K |
| 96127 |
|
31 |
30 |
$1K |
| 92551 |
|
45 |
45 |
$468.72 |