| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,504 |
3,473 |
$183K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
4,413 |
3,445 |
$116K |
| 90837 |
Psychotherapy, 53 minutes with patient |
951 |
336 |
$72K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
875 |
306 |
$17K |
| Q3014 |
Telehealth originating site facility fee |
674 |
501 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
143 |
102 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
108 |
$5K |
| 90836 |
|
94 |
65 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
19 |
12 |
$201.91 |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
1,163 |
489 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$0.00 |
| H2015 |
Comprehensive community support services, per 15 minutes |
8,932 |
1,560 |
$0.00 |