| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
837 |
567 |
$128K |
| H2020 |
Therapeutic behavioral services, per diem |
388 |
233 |
$54K |
| 3078F |
|
712 |
480 |
$0.00 |
| 1159F |
|
263 |
200 |
$0.00 |
| 1160F |
|
263 |
200 |
$0.00 |
| 3725F |
|
214 |
175 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
258 |
154 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
30 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
22 |
15 |
$0.00 |
| 99173 |
|
23 |
19 |
$0.00 |
| 3008F |
|
840 |
556 |
$0.00 |
| 1125F |
|
544 |
406 |
$0.00 |
| 3074F |
|
757 |
506 |
$0.00 |
| 1036F |
|
611 |
403 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
140 |
116 |
$0.00 |
| 1126F |
|
222 |
157 |
$0.00 |
| 90686 |
|
45 |
41 |
$0.00 |
| 92551 |
|
18 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
89 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
304 |
$0.00 |
| 96127 |
|
1,003 |
243 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
56 |
$0.00 |
| 90656 |
|
102 |
65 |
$0.00 |