| Code | Description | Claims | Beneficiaries | Total Paid |
| S5145 |
Foster care, therapeutic, child; per diem |
1,941 |
410 |
$2.06M |
| H2015 |
Comprehensive community support services, per 15 minutes |
2,728 |
843 |
$248K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,363 |
1,193 |
$102K |
| Q3014 |
Telehealth originating site facility fee |
1,270 |
1,061 |
$29K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
242 |
147 |
$21K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
108 |
102 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126 |
108 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
71 |
39 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
26 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
15 |
12 |
$351.90 |