| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,761 |
10,524 |
$1.25M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,462 |
958 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,537 |
5,609 |
$72.97 |
| 80305 |
|
3,290 |
2,610 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
497 |
488 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
144 |
135 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
381 |
329 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
809 |
488 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
199 |
124 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
69 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
48 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
53 |
50 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
47 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
827 |
605 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,481 |
2,581 |
$0.00 |