| Code | Description | Claims | Beneficiaries | Total Paid |
| D0999 |
Unspecified diagnostic procedure, by report |
96 |
84 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
232 |
185 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
175 |
154 |
$630.28 |
| T1015 |
Clinic visit/encounter, all-inclusive |
617 |
554 |
$5.44 |
| 99215 |
Prolong outpt/office vis |
144 |
122 |
$0.00 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
13 |
12 |
$0.00 |