| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,336 |
14,169 |
$1.43M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,910 |
960 |
$92K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,043 |
2,456 |
$854.19 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,950 |
5,464 |
$852.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,019 |
808 |
$170.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,122 |
2,550 |
$72.75 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
136 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
16 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
243 |
224 |
$0.00 |
| 81002 |
|
14 |
14 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
28 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
344 |
151 |
$0.00 |
| 87428 |
|
304 |
283 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
71 |
65 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
115 |
112 |
$0.00 |