| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,231 |
41,251 |
$4.66M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
5,433 |
3,580 |
$381K |
| 59430 |
|
251 |
222 |
$6K |
| 0500F |
|
206 |
199 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,375 |
2,542 |
$213.50 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,855 |
2,040 |
$70.99 |
| 90832 |
Psychotherapy, 30 minutes with patient |
879 |
710 |
$53.25 |
| 0502F |
|
2,530 |
1,513 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,059 |
1,951 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
314 |
303 |
$0.00 |
| 83655 |
|
547 |
515 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,456 |
3,291 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,064 |
1,963 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
900 |
861 |
$0.00 |
| 90633 |
|
634 |
593 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
790 |
744 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,684 |
1,627 |
$0.00 |
| 90710 |
|
289 |
267 |
$0.00 |
| 90707 |
|
256 |
238 |
$0.00 |
| 90715 |
|
413 |
388 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,235 |
2,102 |
$0.00 |
| 90700 |
|
284 |
269 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
896 |
857 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
182 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
428 |
404 |
$0.00 |
| 90734 |
|
267 |
239 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
159 |
155 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
94 |
87 |
$0.00 |
| 59025 |
Fetal non-stress test |
192 |
105 |
$0.00 |
| 81025 |
|
67 |
66 |
$0.00 |
| 96133 |
|
16 |
15 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90723 |
|
1,246 |
1,168 |
$0.00 |
| 36416 |
|
516 |
486 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
753 |
738 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
172 |
156 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
908 |
820 |
$0.00 |
| 90647 |
|
1,193 |
1,119 |
$0.00 |
| 90651 |
|
287 |
258 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,581 |
11,040 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,701 |
16,256 |
$0.00 |
| 90680 |
|
1,054 |
990 |
$0.00 |
| 90716 |
|
245 |
228 |
$0.00 |
| 90696 |
|
238 |
222 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
110 |
$0.00 |
| 85018 |
|
594 |
558 |
$0.00 |
| 90686 |
|
96 |
95 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
97 |
68 |
$0.00 |
| 87807 |
|
34 |
34 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| 96132 |
|
16 |
15 |
$0.00 |