| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
Psychotherapy, 45 minutes with patient |
96,457 |
53,409 |
$4.63M |
| 90832 |
Psychotherapy, 30 minutes with patient |
60,769 |
36,986 |
$2.22M |
| 90837 |
Psychotherapy, 53 minutes with patient |
24,293 |
13,982 |
$1.87M |
| 90791 |
Psychiatric diagnostic evaluation |
20,525 |
18,021 |
$1.54M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
13,603 |
2,418 |
$1.31M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
13,736 |
9,164 |
$797K |
| H0038 |
Self-help/peer services, per 15 minutes |
10,907 |
3,240 |
$293K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,425 |
8,158 |
$277K |
| 99223 |
Prolong inpt eval add15 m |
2,224 |
1,967 |
$256K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,992 |
2,735 |
$246K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
17,960 |
5,842 |
$241K |
| 90839 |
|
1,863 |
1,493 |
$134K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,140 |
1,794 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,763 |
1,277 |
$100K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
1,464 |
1,068 |
$79K |
| 99221 |
|
1,816 |
1,406 |
$68K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
911 |
745 |
$51K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,258 |
946 |
$42K |
| 99233 |
Prolong inpt eval add15 m |
1,057 |
278 |
$36K |
| H2014 |
Skills training and development, per 15 minutes |
250 |
104 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,062 |
889 |
$26K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
168 |
12 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
126 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
473 |
350 |
$14K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
283 |
46 |
$8K |
| T1016 |
Case management, each 15 minutes |
825 |
666 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
122 |
92 |
$5K |
| 80305 |
|
473 |
333 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
155 |
124 |
$3K |
| 90632 |
|
56 |
42 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
327 |
288 |
$2K |
| D0330 |
Panoramic radiographic image |
223 |
202 |
$2K |
| 99382 |
|
19 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
12 |
$816.40 |
| 96127 |
|
366 |
321 |
$711.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
100 |
$663.18 |
| D0140 |
Limited oral evaluation - problem focused |
69 |
58 |
$652.03 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
34 |
$609.96 |
| D1110 |
Prophylaxis - adult |
102 |
96 |
$570.72 |
| D1120 |
Prophylaxis - child |
82 |
65 |
$541.18 |
| H0031 |
Mental health assessment, by non-physician |
76 |
71 |
$521.36 |
| D0210 |
Intraoral - complete series of radiographic images |
56 |
49 |
$467.98 |
| D1206 |
Topical application of fluoride varnish |
140 |
118 |
$448.80 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
33 |
27 |
$412.25 |
| D0274 |
Bitewings - four radiographic images |
77 |
72 |
$312.00 |
| D0220 |
Intraoral - periapical first radiographic image |
50 |
49 |
$85.15 |
| T2022 |
Case management, per month |
17 |
14 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
91 |
85 |
$0.00 |
| 93000 |
|
20 |
19 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
12 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,501 |
3,134 |
$0.00 |