| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
4,081 |
3,533 |
$625K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,796 |
1,319 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,789 |
1,663 |
$48K |
| 90791 |
Psychiatric diagnostic evaluation |
199 |
194 |
$9K |
| 90836 |
|
82 |
82 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
126 |
124 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
60 |
52 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
35 |
$710.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
12 |
$334.18 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
2,309 |
1,803 |
$0.00 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
2,640 |
2,032 |
$0.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
206 |
145 |
$0.00 |
| 3074F |
|
14 |
12 |
$0.00 |