| Code | Description | Claims | Beneficiaries | Total Paid |
| H2011 |
Crisis intervention service, per 15 minutes |
6,031 |
1,919 |
$2.65M |
| S9480 |
Intensive outpatient psychiatric services, per diem |
2,367 |
296 |
$307K |
| 90876 |
|
2,348 |
423 |
$199K |
| 90837 |
Psychotherapy, 53 minutes with patient |
847 |
415 |
$72K |
| 90838 |
|
758 |
410 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
804 |
457 |
$50K |
| Q3014 |
Telehealth originating site facility fee |
2,236 |
1,187 |
$45K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
501 |
134 |
$27K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
457 |
341 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
372 |
246 |
$15K |
| 90839 |
|
132 |
44 |
$14K |
| 99215 |
Prolong outpt/office vis |
146 |
105 |
$12K |
| 90840 |
|
132 |
44 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
28 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
25 |
13 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
13 |
$924.48 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
14 |
14 |
$307.70 |
| 96127 |
|
67 |
56 |
$202.45 |