| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,604 |
4,089 |
$776K |
| H2020 |
Therapeutic behavioral services, per diem |
2,999 |
1,499 |
$361K |
| 96160 |
|
2,713 |
2,083 |
$1K |
| 1160F |
|
4,362 |
3,213 |
$0.00 |
| 3078F |
|
3,243 |
2,440 |
$0.00 |
| 99173 |
|
399 |
340 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,961 |
2,294 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,696 |
1,420 |
$0.00 |
| 1159F |
|
4,357 |
3,210 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
120 |
$0.00 |
| 3725F |
|
1,050 |
880 |
$0.00 |
| 99401 |
|
17 |
17 |
$0.00 |
| 5250F |
|
24 |
24 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
85 |
53 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
79 |
61 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 81003 |
|
13 |
12 |
$0.00 |
| 3074F |
|
3,333 |
2,511 |
$0.00 |
| 1125F |
|
934 |
724 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,129 |
2,475 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,312 |
1,056 |
$0.00 |
| 96127 |
|
2,699 |
1,112 |
$0.00 |
| J3490 |
Unclassified drugs |
23 |
12 |
$0.00 |
| 1126F |
|
1,428 |
1,120 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
150 |
141 |
$0.00 |
| 3079F |
|
41 |
32 |
$0.00 |
| 1036F |
|
2,091 |
1,525 |
$0.00 |
| 3008F |
|
1,765 |
1,354 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
299 |
238 |
$0.00 |
| 92551 |
|
188 |
159 |
$0.00 |
| 3044F |
|
17 |
14 |
$0.00 |
| 0001A |
|
17 |
17 |
$0.00 |