| Code | Description | Claims | Beneficiaries | Total Paid |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
3,805 |
1,958 |
$892K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,145 |
1,996 |
$111K |
| 90837 |
Psychotherapy, 53 minutes with patient |
706 |
376 |
$20K |
| 90791 |
Psychiatric diagnostic evaluation |
179 |
175 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
180 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
136 |
118 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$370.07 |