| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,330 |
1,611 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206 |
195 |
$14K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
36 |
36 |
$12K |
| T1017 |
Targeted case management, each 15 minutes |
276 |
164 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
155 |
150 |
$7K |
| H2015 |
Comprehensive community support services, per 15 minutes |
302 |
85 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| 99368 |
|
187 |
187 |
$1K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
24 |
24 |
$595.68 |