| Code | Description | Claims | Beneficiaries | Total Paid |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
971 |
619 |
$229K |
| S9485 |
Crisis intervention mental health services, per diem |
246 |
232 |
$196K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,728 |
1,528 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,955 |
1,603 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
552 |
429 |
$31K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
298 |
92 |
$16K |
| 99404 |
|
68 |
67 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
978 |
334 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
57 |
56 |
$7K |
| 99443 |
|
214 |
152 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
159 |
75 |
$5K |
| 99215 |
Prolong outpt/office vis |
38 |
36 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
52 |
51 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
75 |
63 |
$3K |
| 90836 |
|
28 |
13 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$1K |