| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
92,838 |
63,024 |
$7.47M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
5,186 |
2,470 |
$375K |
| 90670 |
|
3,541 |
3,019 |
$9K |
| 90651 |
|
419 |
351 |
$8K |
| 90832 |
|
7,625 |
4,253 |
$6K |
| 90716 |
|
1,752 |
1,525 |
$5K |
| 90734 |
|
696 |
593 |
$4K |
| 90707 |
|
1,701 |
1,496 |
$3K |
| 99214 |
|
29,060 |
22,928 |
$2K |
| 90680 |
|
1,444 |
1,125 |
$2K |
| 90723 |
|
3,170 |
2,720 |
$2K |
| 90648 |
|
4,126 |
3,570 |
$1K |
| 90696 |
|
486 |
422 |
$1K |
| 99213 |
|
30,085 |
24,028 |
$966.51 |
| 90715 |
|
404 |
340 |
$698.59 |
| 99391 |
|
6,094 |
5,203 |
$641.45 |
| 99392 |
|
6,127 |
5,485 |
$482.25 |
| 90688 |
|
28 |
16 |
$437.28 |
| 90700 |
|
591 |
515 |
$359.82 |
| 90686 |
|
2,553 |
1,968 |
$337.20 |
| 90685 |
|
334 |
225 |
$279.01 |
| 96127 |
|
4,700 |
4,020 |
$219.00 |
| 96110 |
|
2,795 |
2,414 |
$192.84 |
| 90633 |
|
1,734 |
1,606 |
$174.01 |
| 99394 |
|
1,457 |
1,268 |
$160.75 |
| 99393 |
|
2,070 |
1,837 |
$35.11 |
| 90791 |
|
804 |
711 |
$0.00 |
| 97803 |
|
1,027 |
857 |
$0.00 |
| 90681 |
|
984 |
929 |
$0.00 |
| 90833 |
|
999 |
886 |
$0.00 |
| 99395 |
|
40 |
37 |
$0.00 |
| 90785 |
|
554 |
331 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
135 |
130 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$0.00 |
| 99203 |
|
12 |
12 |
$0.00 |
| 90380 |
|
14 |
14 |
$0.00 |
| 99382 |
|
13 |
12 |
$0.00 |
| 90834 |
|
4,107 |
2,267 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,269 |
2,847 |
$0.00 |
| 90792 |
|
273 |
266 |
$0.00 |
| 90677 |
|
552 |
529 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
940 |
652 |
$0.00 |
| 99381 |
|
379 |
372 |
$0.00 |
| 96161 |
|
255 |
249 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
110 |
94 |
$0.00 |
| 90381 |
|
32 |
29 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
44 |
42 |
$0.00 |
| 90656 |
|
177 |
175 |
$0.00 |
| 94640 |
|
50 |
46 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |