| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
335 |
232 |
$46K |
| T1015 |
Clinic visit/encounter, all-inclusive |
158 |
146 |
$17K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
28 |
28 |
$656.88 |
| 0012A |
|
15 |
15 |
$642.32 |
| 0011A |
|
13 |
13 |
$478.62 |
| 90834 |
Psychotherapy, 45 minutes with patient |
269 |
187 |
$104.14 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
30 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
33 |
$0.00 |