| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
137,496 |
95,192 |
$10.52M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,174 |
990 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,824 |
36,321 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,265 |
29,503 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,416 |
7,421 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,702 |
4,537 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,648 |
6,347 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
1,136 |
979 |
$1K |
| 96127 |
|
9,500 |
7,595 |
$889.82 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,799 |
4,044 |
$852.31 |
| 99381 |
|
534 |
472 |
$615.70 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,251 |
2,693 |
$572.02 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
245 |
155 |
$566.15 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,863 |
4,630 |
$433.94 |
| 74018 |
|
717 |
675 |
$429.44 |
| 99385 |
|
19 |
12 |
$314.88 |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,601 |
2,003 |
$228.47 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
824 |
765 |
$85.65 |
| 81002 |
|
1,916 |
1,403 |
$41.60 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
269 |
237 |
$23.40 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
487 |
457 |
$0.00 |
| 69210 |
|
203 |
173 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,208 |
814 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
406 |
377 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
154 |
151 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
961 |
925 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
91 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
352 |
329 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
47 |
37 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$0.00 |
| 88720 |
|
317 |
285 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
223 |
218 |
$0.00 |
| 96161 |
|
984 |
772 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 99383 |
|
32 |
25 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
158 |
146 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
128 |
126 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
82 |
74 |
$0.00 |