| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
52,970 |
38,284 |
$7.24M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
661 |
458 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,850 |
21,296 |
$8.00 |
| Q3014 |
Telehealth originating site facility fee |
18,619 |
14,298 |
$3.00 |
| 96127 |
|
20,334 |
14,104 |
$2.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,275 |
1,164 |
$1.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,089 |
1,834 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
36 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,008 |
804 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,283 |
385 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
285 |
240 |
$0.00 |
| 99173 |
|
558 |
466 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$0.00 |
| 3078F |
|
1,956 |
1,807 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,743 |
7,595 |
$0.00 |
| 90734 |
|
255 |
231 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
891 |
446 |
$0.00 |
| 81002 |
|
126 |
115 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
269 |
226 |
$0.00 |
| 90715 |
|
60 |
55 |
$0.00 |
| 81025 |
|
49 |
38 |
$0.00 |
| 90670 |
|
24 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
289 |
222 |
$0.00 |
| 99201 |
|
33 |
33 |
$0.00 |
| 3077F |
|
16 |
15 |
$0.00 |
| 90633 |
|
17 |
17 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
13 |
$0.00 |
| 97802 |
|
2,443 |
1,978 |
$0.00 |
| 92551 |
|
410 |
331 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,591 |
3,705 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,894 |
1,590 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
893 |
802 |
$0.00 |
| 90686 |
|
614 |
532 |
$0.00 |
| 1126F |
|
1,192 |
1,122 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
579 |
508 |
$0.00 |
| 3079F |
|
597 |
560 |
$0.00 |
| 90651 |
|
50 |
42 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,477 |
5,689 |
$0.00 |
| 90656 |
|
85 |
73 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
583 |
315 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
410 |
321 |
$0.00 |
| 99384 |
|
43 |
41 |
$0.00 |
| 3075F |
|
196 |
190 |
$0.00 |
| 1125F |
|
191 |
184 |
$0.00 |
| 3074F |
|
2,358 |
2,147 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
145 |
110 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
39 |
39 |
$0.00 |
| 90723 |
|
24 |
12 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 99383 |
|
56 |
50 |
$0.00 |