| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,915 |
21,758 |
$1.96M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
691 |
475 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,332 |
7,175 |
$800.70 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,150 |
5,393 |
$435.09 |
| 90837 |
Psychotherapy, 53 minutes with patient |
585 |
394 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
130 |
129 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
259 |
250 |
$0.00 |
| 3078F |
|
756 |
714 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
63 |
$0.00 |
| 3077F |
|
159 |
155 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
16 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
15 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
23 |
23 |
$0.00 |
| 3008F |
|
1,351 |
1,233 |
$0.00 |
| 3075F |
|
213 |
208 |
$0.00 |
| 3080F |
|
77 |
74 |
$0.00 |
| 99243 |
|
39 |
37 |
$0.00 |
| 3079F |
|
387 |
371 |
$0.00 |
| 3074F |
|
838 |
783 |
$0.00 |