| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,234 |
4,120 |
$755K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
908 |
453 |
$58K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,026 |
606 |
$0.00 |
| 1160F |
|
667 |
550 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
576 |
420 |
$0.00 |
| 3078F |
|
244 |
214 |
$0.00 |
| 1159F |
|
667 |
550 |
$0.00 |
| 3725F |
|
499 |
403 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 99382 |
|
13 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,468 |
2,156 |
$0.00 |
| 3074F |
|
323 |
290 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
467 |
443 |
$0.00 |
| 3079F |
|
80 |
71 |
$0.00 |
| 96127 |
|
277 |
247 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
13 |
12 |
$0.00 |
| 1036F |
|
476 |
393 |
$0.00 |
| 3008F |
|
374 |
326 |
$0.00 |
| 99383 |
|
13 |
12 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |