| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,016 |
27,907 |
$5.24M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
2,106 |
1,266 |
$148K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,239 |
2,144 |
$731.29 |
| 90837 |
Psychotherapy, 53 minutes with patient |
575 |
533 |
$685.26 |
| 90734 |
|
111 |
73 |
$253.90 |
| 90688 |
|
25 |
25 |
$184.15 |
| 90707 |
|
62 |
59 |
$129.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,260 |
11,621 |
$111.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,595 |
6,595 |
$76.95 |
| 90715 |
|
84 |
78 |
$61.80 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
407 |
402 |
$42.50 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
942 |
875 |
$0.00 |
| 3077F |
|
645 |
601 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,375 |
1,023 |
$0.00 |
| 3078F |
|
6,197 |
5,760 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,234 |
1,106 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
547 |
497 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
327 |
294 |
$0.00 |
| 1160F |
|
5,603 |
5,099 |
$0.00 |
| 82948 |
|
288 |
269 |
$0.00 |
| 81003 |
|
150 |
146 |
$0.00 |
| 1159F |
|
5,555 |
5,051 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
545 |
485 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
83 |
76 |
$0.00 |
| 0502F |
|
48 |
46 |
$0.00 |
| 90671 |
|
26 |
26 |
$0.00 |
| 3046F |
|
25 |
25 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
16 |
$0.00 |
| 90670 |
|
18 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 81025 |
|
35 |
33 |
$0.00 |
| 81002 |
|
25 |
25 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,423 |
1,265 |
$0.00 |
| 3079F |
|
1,706 |
1,621 |
$0.00 |
| 99385 |
|
82 |
73 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
994 |
838 |
$0.00 |
| 3080F |
|
340 |
307 |
$0.00 |
| 3044F |
|
86 |
83 |
$0.00 |
| 1125F |
|
896 |
866 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
426 |
301 |
$0.00 |
| 90686 |
|
286 |
267 |
$0.00 |
| 85018 |
|
1,752 |
1,559 |
$0.00 |
| 3075F |
|
926 |
881 |
$0.00 |
| 3074F |
|
6,771 |
6,285 |
$0.00 |
| 90716 |
|
72 |
70 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
292 |
195 |
$0.00 |
| 90651 |
|
184 |
181 |
$0.00 |
| 1126F |
|
3,325 |
3,157 |
$0.00 |
| 90619 |
|
172 |
170 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
165 |
$0.00 |
| 90656 |
|
31 |
30 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| 1170F |
|
158 |
150 |
$0.00 |
| 99383 |
|
112 |
111 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 99384 |
|
128 |
118 |
$0.00 |