| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,745 |
7,653 |
$1.26M |
| H2020 |
Therapeutic behavioral services, per diem |
7,259 |
2,322 |
$269K |
| 0012A |
|
441 |
89 |
$259.56 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,818 |
2,440 |
$253.13 |
| 1036F |
|
64 |
43 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,866 |
4,470 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
152 |
69 |
$0.00 |
| 3079F |
|
159 |
88 |
$0.00 |
| 90686 |
|
94 |
79 |
$0.00 |
| 3074F |
|
332 |
177 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
314 |
220 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$0.00 |
| 3008F |
|
174 |
122 |
$0.00 |
| 3351F |
|
17 |
17 |
$0.00 |
| 91301 |
|
1,010 |
219 |
$0.00 |
| 96127 |
|
190 |
106 |
$0.00 |
| 0011A |
|
295 |
81 |
$0.00 |
| 82962 |
|
43 |
13 |
$0.00 |
| 3725F |
|
159 |
111 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
876 |
273 |
$0.00 |
| 90756 |
|
179 |
112 |
$0.00 |
| 3078F |
|
234 |
122 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
139 |
55 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
166 |
29 |
$0.00 |