| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,646 |
4,554 |
$509K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
46 |
27 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,347 |
1,192 |
$101.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,870 |
2,059 |
$0.00 |
| 96127 |
|
75 |
68 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
22 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$0.00 |