| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
78,700 |
55,813 |
$6.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,831 |
24,600 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,343 |
18,727 |
$6K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
62 |
36 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,851 |
1,478 |
$3K |
| 96127 |
|
3,840 |
2,706 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,462 |
2,364 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
851 |
708 |
$658.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,933 |
1,589 |
$655.11 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
218 |
135 |
$304.85 |
| 90791 |
Psychiatric diagnostic evaluation |
160 |
131 |
$109.26 |
| 81002 |
|
1,285 |
988 |
$67.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,193 |
978 |
$32.15 |
| 93000 |
|
134 |
95 |
$22.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
219 |
201 |
$9.81 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,349 |
1,089 |
$0.00 |
| 74018 |
|
83 |
81 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,201 |
616 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
253 |
247 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
74 |
74 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
244 |
193 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
281 |
278 |
$0.00 |
| 81025 |
|
15 |
15 |
$0.00 |
| 87634 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
65 |
64 |
$0.00 |
| 83037 |
|
22 |
13 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
247 |
245 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
347 |
341 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
57 |
27 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
23 |
$0.00 |