| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,109 |
881 |
$260K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
523 |
502 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
322 |
190 |
$7K |
| 99215 |
Prolong outpt/office vis |
57 |
55 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
84 |
$955.57 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
12 |
12 |
$198.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
12 |
$67.16 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
44 |
44 |
$41.74 |