| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
127,575 |
91,629 |
$18.25M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
2,129 |
1,447 |
$148K |
| 90651 |
|
1,830 |
1,491 |
$28K |
| 90734 |
|
1,237 |
924 |
$16K |
| 90716 |
|
1,758 |
1,300 |
$14K |
| 90670 |
|
2,916 |
2,192 |
$13K |
| 90707 |
|
1,677 |
1,220 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,592 |
44,312 |
$7K |
| 90633 |
|
1,780 |
1,349 |
$4K |
| 90688 |
|
445 |
321 |
$3K |
| 90696 |
|
572 |
415 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,860 |
1,547 |
$3K |
| 90715 |
|
805 |
652 |
$3K |
| 90700 |
|
623 |
460 |
$2K |
| 90647 |
|
2,232 |
1,715 |
$2K |
| 90723 |
|
2,366 |
1,774 |
$1K |
| 0503F |
|
1,013 |
846 |
$1K |
| 90681 |
|
1,353 |
1,038 |
$679.35 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,719 |
1,587 |
$495.04 |
| 90686 |
|
2,277 |
1,848 |
$401.47 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,368 |
2,852 |
$393.22 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,277 |
2,006 |
$342.60 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,798 |
3,353 |
$256.30 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
495 |
423 |
$248.88 |
| 99385 |
|
863 |
826 |
$209.92 |
| 90713 |
|
44 |
40 |
$191.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,310 |
8,721 |
$176.44 |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,049 |
2,355 |
$141.69 |
| 90685 |
|
508 |
412 |
$74.40 |
| 0500F |
|
2,568 |
2,444 |
$44.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,690 |
3,154 |
$18.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,487 |
1,263 |
$15.70 |
| 81002 |
|
4,456 |
3,420 |
$2.60 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,190 |
2,366 |
$0.00 |
| 3077F |
|
1,121 |
1,029 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,092 |
2,550 |
$0.00 |
| 81025 |
|
599 |
569 |
$0.00 |
| 0502F |
|
14,944 |
8,923 |
$0.00 |
| 1160F |
|
17,934 |
14,781 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,261 |
2,585 |
$0.00 |
| 1159F |
|
17,626 |
14,494 |
$0.00 |
| 3045F |
|
73 |
54 |
$0.00 |
| 94664 |
|
25 |
14 |
$0.00 |
| 3051F |
|
76 |
73 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,979 |
2,791 |
$0.00 |
| 3046F |
|
580 |
507 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
99 |
84 |
$0.00 |
| 3078F |
|
20,260 |
16,982 |
$0.00 |
| 81003 |
|
374 |
357 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,577 |
1,937 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
14 |
$0.00 |
| 59025 |
Fetal non-stress test |
13 |
13 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
53 |
50 |
$0.00 |
| 90671 |
|
43 |
42 |
$0.00 |
| 99382 |
|
27 |
25 |
$0.00 |
| 69210 |
|
12 |
12 |
$0.00 |
| 11981 |
|
15 |
12 |
$0.00 |
| 85018 |
|
3,466 |
2,613 |
$0.00 |
| 1125F |
|
1,072 |
1,019 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
97 |
85 |
$0.00 |
| 3044F |
|
1,055 |
947 |
$0.00 |
| 90619 |
|
485 |
478 |
$0.00 |
| 99381 |
|
854 |
702 |
$0.00 |
| 1126F |
|
9,728 |
8,783 |
$0.00 |
| 3079F |
|
3,894 |
3,603 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
603 |
582 |
$0.00 |
| 99384 |
|
250 |
202 |
$0.00 |
| 3052F |
|
22 |
12 |
$0.00 |
| 99386 |
|
267 |
253 |
$0.00 |
| 3075F |
|
1,786 |
1,685 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
19 |
19 |
$0.00 |
| 94760 |
|
28 |
14 |
$0.00 |
| 99383 |
|
322 |
267 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
99 |
84 |
$0.00 |
| 3080F |
|
652 |
615 |
$0.00 |
| 3074F |
|
21,954 |
18,171 |
$0.00 |
| 58300 |
|
50 |
49 |
$0.00 |
| 1170F |
|
298 |
284 |
$0.00 |
| 86580 |
|
14 |
12 |
$0.00 |
| 90656 |
|
282 |
267 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 88142 |
|
16 |
16 |
$0.00 |