| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
29,923 |
22,218 |
$2.29M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
774 |
351 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,142 |
11,848 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,593 |
3,885 |
$534.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,038 |
2,602 |
$231.07 |
| 99441 |
|
262 |
231 |
$17.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
51 |
$0.00 |
| 87081 |
|
80 |
79 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
21 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
102 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
349 |
162 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
31 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
102 |
$0.00 |