| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
75,271 |
57,316 |
$5.12M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
3,737 |
2,050 |
$233K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,527 |
13,868 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,379 |
21,163 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,654 |
2,307 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,287 |
2,052 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
663 |
515 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
834 |
739 |
$3K |
| 99348 |
|
323 |
180 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
357 |
289 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,237 |
1,426 |
$914.44 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
9,799 |
8,262 |
$541.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,774 |
1,418 |
$438.34 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
251 |
229 |
$423.96 |
| 90686 |
|
304 |
230 |
$274.98 |
| 99349 |
|
2,349 |
1,988 |
$95.00 |
| 81002 |
|
726 |
530 |
$90.86 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,776 |
1,911 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
536 |
536 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
104 |
$0.00 |
| 99347 |
|
25 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
76 |
75 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
96 |
60 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
85 |
79 |
$0.00 |
| 90836 |
|
136 |
123 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,072 |
807 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
68 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,058 |
1,026 |
$0.00 |
| 90656 |
|
44 |
44 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
115 |
107 |
$0.00 |
| 99343 |
|
22 |
16 |
$0.00 |
| 99304 |
|
27 |
26 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
150 |
134 |
$0.00 |
| 88738 |
|
12 |
12 |
$0.00 |
| 99381 |
|
14 |
14 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
22 |
17 |
$0.00 |