| Code | Description | Claims | Beneficiaries | Total Paid |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
81 |
61 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
72 |
51 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
85 |
$2K |
| H2015 |
Comprehensive community support services, per 15 minutes |
16 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$576.65 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
31 |
$491.04 |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
12 |
$198.07 |