| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
182,772 |
125,093 |
$43.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
315 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
252 |
163 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,516 |
790 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
103 |
102 |
$0.00 |
| H0040 |
Assertive community treatment program, per diem |
453 |
189 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
234 |
185 |
$0.00 |
| H0038CR |
|
55 |
24 |
$0.00 |
| H0020U3 |
|
78 |
78 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
649 |
443 |
$0.00 |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
718 |
141 |
$0.00 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
112 |
27 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
198 |
188 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
511 |
242 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
183 |
135 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
24 |
$0.00 |
| 99442 |
|
19 |
14 |
$0.00 |