| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,391 |
34,109 |
$6.19M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
2,896 |
1,833 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,111 |
14,257 |
$145.75 |
| 96127 |
|
18,108 |
13,977 |
$45.60 |
| 0502F |
|
3,285 |
1,881 |
$44.10 |
| 81002 |
|
2,923 |
2,072 |
$2.60 |
| 99173 |
|
2,912 |
2,722 |
$2.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
898 |
800 |
$2.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,212 |
1,878 |
$2.00 |
| 92551 |
|
2,551 |
2,386 |
$2.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
753 |
730 |
$1.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,394 |
4,181 |
$1.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,936 |
1,686 |
$1.00 |
| 90686 |
|
1,101 |
999 |
$1.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,406 |
1,169 |
$1.00 |
| 90716 |
|
28 |
28 |
$1.00 |
| 81025 |
|
625 |
556 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,015 |
2,553 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,015 |
854 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
71 |
58 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,519 |
1,309 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,154 |
1,087 |
$0.00 |
| 90670 |
|
619 |
539 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,277 |
1,194 |
$0.00 |
| 90633 |
|
344 |
294 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
344 |
327 |
$0.00 |
| 90734 |
|
442 |
390 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
442 |
369 |
$0.00 |
| 90707 |
|
15 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
56 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
238 |
229 |
$0.00 |
| 3078F |
|
107 |
102 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,514 |
1,230 |
$0.00 |
| 90647 |
|
227 |
189 |
$0.00 |
| 90680 |
|
149 |
121 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
4,273 |
3,646 |
$0.00 |
| 3074F |
|
143 |
136 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,360 |
2,955 |
$0.00 |
| 97802 |
|
758 |
652 |
$0.00 |
| 90656 |
|
151 |
146 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,101 |
4,428 |
$0.00 |
| 90723 |
|
405 |
351 |
$0.00 |
| 1126F |
|
281 |
271 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
77 |
73 |
$0.00 |
| 0500F |
|
83 |
77 |
$0.00 |
| 90677 |
|
51 |
45 |
$0.00 |
| 90651 |
|
103 |
78 |
$0.00 |
| 99384 |
|
16 |
12 |
$0.00 |
| 99385 |
|
13 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
24 |
24 |
$0.00 |
| 85018 |
|
15 |
12 |
$0.00 |
| 0503F |
|
17 |
12 |
$0.00 |
| 90620 |
|
14 |
12 |
$0.00 |
| 99383 |
|
53 |
50 |
$0.00 |
| 3079F |
|
18 |
17 |
$0.00 |