| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,816 |
4,120 |
$1.15M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
591 |
306 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,363 |
2,742 |
$779.28 |
| 80305 |
|
392 |
236 |
$21.00 |
| 96127 |
|
210 |
171 |
$1.00 |
| 3074F |
|
1,011 |
757 |
$0.00 |
| 3008F |
|
1,687 |
1,149 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
54 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
24 |
$0.00 |
| 3079F |
|
368 |
311 |
$0.00 |
| 3075F |
|
96 |
82 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 1036F |
|
19 |
13 |
$0.00 |
| 3725F |
|
1,393 |
1,011 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,089 |
1,186 |
$0.00 |
| 3078F |
|
1,026 |
773 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
147 |
69 |
$0.00 |
| 1160F |
|
1,599 |
1,045 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
191 |
62 |
$0.00 |
| 3077F |
|
16 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
24 |
$0.00 |