| Code | Description | Claims | Beneficiaries | Total Paid |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
12,460 |
5,633 |
$2.95M |
| S9485 |
Crisis intervention mental health services, per diem |
1,694 |
1,067 |
$1.38M |
| H2011 |
Crisis intervention service, per 15 minutes |
1,409 |
496 |
$146K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,385 |
3,441 |
$8K |
| H0046 |
Mental health services, not otherwise specified |
96 |
67 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,201 |
1,352 |
$3K |
| 90887 |
|
122 |
98 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
241 |
236 |
$313.34 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,323 |
974 |
$181.60 |
| 90882 |
|
30 |
25 |
$70.89 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
282 |
138 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,292 |
1,177 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$0.00 |