| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,737 |
1,277 |
$244K |
| 81003 |
|
281 |
245 |
$0.00 |
| 92552 |
|
253 |
225 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
626 |
304 |
$0.00 |
| 99173 |
|
336 |
294 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
144 |
92 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
70 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
12 |
$0.00 |
| H2020 |
Therapeutic behavioral services, per diem |
31 |
23 |
$0.00 |
| 85018 |
|
263 |
231 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
233 |
189 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
62 |
27 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$0.00 |