| Code | Description | Claims | Beneficiaries | Total Paid |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
296 |
255 |
$1.09M |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
2,397 |
1,810 |
$316K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,479 |
1,303 |
$40K |
| 90834 |
Psychotherapy, 45 minutes with patient |
313 |
189 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
182 |
168 |
$8K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
578 |
506 |
$8K |
| 90836 |
|
89 |
87 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
35 |
$865.83 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
926 |
641 |
$0.00 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
1,271 |
896 |
$0.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
1,331 |
904 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
152 |
82 |
$0.00 |