| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,720 |
4,186 |
$796K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
184 |
114 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
299 |
194 |
$117.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,640 |
1,977 |
$89.34 |
| 1160F |
|
714 |
602 |
$0.00 |
| 3078F |
|
1,469 |
1,297 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
59 |
$0.00 |
| 90734 |
|
258 |
216 |
$0.00 |
| 1159F |
|
696 |
587 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
298 |
260 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
121 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
60 |
44 |
$0.00 |
| 82948 |
|
12 |
12 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$0.00 |
| 3074F |
|
1,518 |
1,332 |
$0.00 |
| 96127 |
|
336 |
279 |
$0.00 |
| 85018 |
|
336 |
310 |
$0.00 |
| 1126F |
|
650 |
617 |
$0.00 |
| 90619 |
|
208 |
205 |
$0.00 |
| 1125F |
|
426 |
382 |
$0.00 |
| 90651 |
|
51 |
48 |
$0.00 |
| 90686 |
|
19 |
19 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
149 |
133 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 99384 |
|
136 |
122 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
30 |
$0.00 |
| 1170F |
|
35 |
35 |
$0.00 |