| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,306 |
18,213 |
$1.97M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
985 |
770 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,947 |
6,286 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,464 |
5,893 |
$3K |
| 96127 |
|
523 |
386 |
$262.80 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,071 |
716 |
$88.44 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,147 |
1,460 |
$88.40 |
| 90837 |
Psychotherapy, 53 minutes with patient |
123 |
70 |
$66.71 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
18 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
38 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
18 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
228 |
163 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
39 |
$0.00 |
| 99173 |
|
23 |
22 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
243 |
208 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
25 |
25 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |