| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
871 |
596 |
$144K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
255 |
103 |
$34K |
| S9083 |
Global fee urgent care centers |
129 |
127 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
55 |
24 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
28 |
14 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
276 |
269 |
$371.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
190 |
97 |
$37.50 |