| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,895 |
1,421 |
$448K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,029 |
2,888 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,467 |
3,228 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,425 |
3,276 |
$199K |
| S9485 |
Crisis intervention mental health services, per diem |
185 |
40 |
$168K |
| 90791 |
Psychiatric diagnostic evaluation |
1,154 |
1,137 |
$139K |
| 96112 |
|
681 |
673 |
$130K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,068 |
1,655 |
$88K |
| 90837 |
Psychotherapy, 53 minutes with patient |
807 |
525 |
$84K |
| 96113 |
|
467 |
464 |
$45K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
372 |
364 |
$30K |
| 99215 |
Prolong outpt/office vis |
215 |
204 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
129 |
53 |
$15K |
| 99255 |
|
27 |
27 |
$7K |
| 90887 |
|
128 |
125 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
28 |
13 |
$2K |
| 98968 |
|
79 |
75 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
107 |
$1K |
| 99443 |
|
26 |
26 |
$767.00 |
| 99442 |
|
18 |
18 |
$353.34 |