| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,543 |
1,283 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,848 |
1,653 |
$67K |
| 90834 |
Psychotherapy, 45 minutes with patient |
470 |
271 |
$39K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
313 |
166 |
$36K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,088 |
987 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
186 |
$12K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
93 |
78 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
211 |
150 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
265 |
259 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
51 |
51 |
$5K |
| 0002A |
|
76 |
76 |
$3K |
| 0001A |
|
65 |
65 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
168 |
166 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
49 |
$730.00 |
| 92015 |
Determination of refractive state |
28 |
28 |
$569.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
51 |
$499.14 |
| 81025 |
|
39 |
37 |
$257.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$158.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$116.76 |
| 81002 |
|
40 |
38 |
$109.80 |