| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
56,571 |
36,939 |
$4.58M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,031 |
656 |
$61K |
| 90686 |
|
2,113 |
1,792 |
$5K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
176 |
137 |
$737.63 |
| 90651 |
|
224 |
191 |
$647.77 |
| 90715 |
|
139 |
114 |
$495.15 |
| 90670 |
|
877 |
736 |
$449.78 |
| 90633 |
|
571 |
490 |
$70.46 |
| 90648 |
|
1,175 |
1,014 |
$70.21 |
| 99215 |
Prolong outpt/office vis |
435 |
414 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,054 |
815 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
162 |
150 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
244 |
154 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
551 |
501 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
584 |
487 |
$0.00 |
| 0502F |
|
1,566 |
887 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,032 |
578 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,869 |
1,548 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,317 |
1,156 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,222 |
1,026 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
137 |
102 |
$0.00 |
| 95251 |
|
285 |
273 |
$0.00 |
| 81025 |
|
33 |
27 |
$0.00 |
| 90734 |
|
69 |
68 |
$0.00 |
| 90681 |
|
59 |
55 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,149 |
1,069 |
$0.00 |
| 90710 |
|
17 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,244 |
13,130 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,412 |
1,207 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,375 |
13,399 |
$0.00 |
| 90723 |
|
826 |
718 |
$0.00 |
| 90677 |
|
295 |
268 |
$0.00 |
| 90680 |
|
457 |
378 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
822 |
501 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
253 |
241 |
$0.00 |
| 87428 |
|
233 |
227 |
$0.00 |
| 90656 |
|
235 |
228 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
77 |
59 |
$0.00 |
| 82962 |
|
56 |
29 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
53 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |