| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,758 |
24,614 |
$2.41M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
312 |
205 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,860 |
12,074 |
$807.45 |
| 3075F |
|
42 |
41 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,400 |
2,852 |
$0.00 |
| 3008F |
|
680 |
621 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
150 |
93 |
$0.00 |
| 3079F |
|
141 |
129 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
25 |
23 |
$0.00 |
| 3074F |
|
745 |
683 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
651 |
576 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
477 |
441 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
471 |
386 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
398 |
346 |
$0.00 |
| 3078F |
|
675 |
630 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
247 |
165 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
21 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
67 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |