| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,015 |
24,235 |
$2.71M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,933 |
1,021 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,697 |
6,137 |
$303.12 |
| 90686 |
|
59 |
42 |
$171.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,628 |
1,467 |
$101.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,483 |
12,853 |
$101.04 |
| 90633 |
|
22 |
14 |
$24.00 |
| 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 |
12 |
12 |
$13.19 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,034 |
644 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
540 |
378 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
168 |
133 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
61 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
220 |
171 |
$0.00 |
| 3077F |
|
14 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
19 |
19 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
844 |
682 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,358 |
1,534 |
$0.00 |
| 96127 |
|
501 |
455 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
70 |
60 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
64 |
$0.00 |
| 3079F |
|
21 |
16 |
$0.00 |