| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
90,274 |
51,245 |
$9.14M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
3,216 |
1,554 |
$247K |
| 99213 |
|
40,686 |
26,325 |
$1K |
| 96150 |
|
110 |
63 |
$563.22 |
| 99214 |
|
10,943 |
8,548 |
$394.96 |
| 90837 |
|
3,969 |
1,964 |
$236.36 |
| 96127 |
|
2,691 |
2,015 |
$146.04 |
| 99202 |
|
697 |
491 |
$33.61 |
| 99212 |
|
4,186 |
3,286 |
$5.71 |
| 0502F |
|
69 |
24 |
$0.09 |
| 99203 |
|
524 |
405 |
$0.04 |
| 90792 |
|
17 |
14 |
$0.03 |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$0.02 |
| 90832 |
|
4,813 |
2,451 |
$0.02 |
| 90834 |
|
2,823 |
1,573 |
$0.01 |
| 99393 |
|
583 |
430 |
$0.01 |
| 99391 |
|
110 |
95 |
$0.01 |
| 99309 |
|
75 |
48 |
$0.00 |
| 99308 |
|
840 |
443 |
$0.00 |
| 96110 |
|
15 |
13 |
$0.00 |
| 90688 |
|
28 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
28 |
$0.00 |
| 99384 |
|
23 |
23 |
$0.00 |
| 99383 |
|
27 |
27 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
27 |
14 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| 90791 |
|
91 |
66 |
$0.00 |
| 90853 |
|
1,014 |
276 |
$0.00 |
| 99394 |
|
614 |
492 |
$0.00 |
| 99211 |
|
56 |
56 |
$0.00 |
| 99396 |
|
14 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
206 |
198 |
$0.00 |
| 99348 |
|
56 |
49 |
$0.00 |
| 99392 |
|
224 |
153 |
$0.00 |
| 98926 |
|
42 |
25 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
54 |
23 |
$0.00 |
| 80305 |
|
14 |
14 |
$0.00 |