| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,494 |
26,862 |
$5.11M |
| S5100 |
Day care services, adult; per 15 minutes |
473 |
140 |
$278K |
| T2003 |
Non-emergency transportation; encounter/trip |
433 |
86 |
$43K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,075 |
741 |
$530.40 |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
186 |
181 |
$495.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,730 |
16,780 |
$466.35 |
| 96127 |
|
1,376 |
1,143 |
$29.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,068 |
1,657 |
$11.00 |
| 36415 |
Collection of venous blood by venipuncture |
198 |
177 |
$4.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,323 |
2,001 |
$1.00 |
| 1036F |
|
2,339 |
1,787 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
78 |
75 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
70 |
$0.00 |
| 3075F |
|
248 |
234 |
$0.00 |
| 3079F |
|
357 |
338 |
$0.00 |
| 3074F |
|
767 |
679 |
$0.00 |
| 3008F |
|
1,192 |
1,026 |
$0.00 |
| 90686 |
|
111 |
108 |
$0.00 |
| 1125F |
|
45 |
44 |
$0.00 |
| 1159F |
|
849 |
676 |
$0.00 |
| 3725F |
|
666 |
606 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
360 |
333 |
$0.00 |
| 3078F |
|
797 |
704 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
92 |
$0.00 |
| 1160F |
|
544 |
404 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
864 |
272 |
$0.00 |
| 3077F |
|
170 |
165 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
56 |
45 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
43 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$0.00 |
| 90682 |
|
24 |
19 |
$0.00 |
| 99397 |
|
12 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
69 |
29 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |