| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,134 |
5,980 |
$993K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
167 |
131 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,537 |
3,078 |
$0.00 |
| 90686 |
|
140 |
139 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,296 |
1,109 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
184 |
171 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20 |
20 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
39 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
150 |
$0.00 |
| 80305 |
|
302 |
241 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
142 |
114 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
96 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |