| Code | Description | Claims | Beneficiaries | Total Paid |
| S9485 |
Crisis intervention mental health services, per diem |
309 |
288 |
$181K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
701 |
466 |
$165K |
| 90834 |
Psychotherapy, 45 minutes with patient |
711 |
418 |
$49K |
| 90837 |
Psychotherapy, 53 minutes with patient |
401 |
269 |
$30K |
| H2011 |
Crisis intervention service, per 15 minutes |
54 |
42 |
$7K |
| 90887 |
|
17 |
14 |
$429.60 |
| 90832 |
Psychotherapy, 30 minutes with patient |
52 |
44 |
$348.77 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
25 |
$0.00 |
| 90839 |
|
14 |
14 |
$0.00 |