| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
13,620 |
4,236 |
$778K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
622 |
620 |
$538K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
535 |
533 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,515 |
1,484 |
$141K |
| 99215 |
Prolong outpt/office vis |
339 |
328 |
$43K |
| T1017 |
Targeted case management, each 15 minutes |
1,463 |
563 |
$22K |
| 99205 |
Prolong outpt/office vis |
33 |
33 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81 |
78 |
$5K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
47 |
13 |
$2K |
| G9001 |
Coordinated care fee, initial rate |
33 |
33 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
18 |
18 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
72 |
72 |
$641.24 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
34 |
34 |
$527.36 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
12 |
12 |
$303.84 |