| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,987 |
20,820 |
$2.12M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
149 |
50 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,755 |
8,703 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,478 |
1,890 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
414 |
290 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
945 |
725 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
15 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
30 |
26 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$0.00 |
| 90674 |
|
29 |
28 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,780 |
3,098 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
57 |
56 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
148 |
114 |
$0.00 |
| 99307 |
|
321 |
289 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
138 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
133 |
114 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
286 |
260 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
142 |
$0.00 |
| 99177 |
|
15 |
14 |
$0.00 |
| 90734 |
|
18 |
15 |
$0.00 |
| 90715 |
|
15 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |