| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,355 |
13,600 |
$1.24M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
3,373 |
2,532 |
$233K |
| 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 |
264 |
246 |
$3K |
| 90686 |
|
225 |
176 |
$89.40 |
| 90715 |
|
76 |
68 |
$37.63 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,312 |
2,053 |
$0.00 |
| 90723 |
|
167 |
140 |
$0.00 |
| 90656 |
|
210 |
205 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,369 |
7,137 |
$0.00 |
| 90680 |
|
169 |
140 |
$0.00 |
| 90651 |
|
77 |
70 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
587 |
498 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
85 |
68 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
194 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
851 |
710 |
$0.00 |
| 90677 |
|
155 |
128 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
289 |
256 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
33 |
29 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
130 |
121 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
14 |
14 |
$0.00 |
| 90696 |
|
17 |
14 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
203 |
200 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
243 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
438 |
394 |
$0.00 |
| 90734 |
|
112 |
104 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
443 |
369 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,661 |
1,200 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
461 |
330 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
299 |
271 |
$0.00 |
| 90633 |
|
245 |
214 |
$0.00 |
| 90670 |
|
297 |
242 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
818 |
731 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
550 |
467 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
270 |
228 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18 |
18 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
63 |
$0.00 |
| 90648 |
|
279 |
230 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 90710 |
|
22 |
17 |
$0.00 |