| Code | Description | Claims | Beneficiaries | Total Paid |
| T1017 |
Targeted case management, each 15 minutes |
7,946 |
5,806 |
$1.41M |
| T1016 |
Case management, each 15 minutes |
2,047 |
1,311 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,538 |
3,033 |
$289K |
| H0031 |
Mental health assessment, by non-physician |
362 |
360 |
$70K |
| 90837 |
Psychotherapy, 53 minutes with patient |
457 |
257 |
$61K |
| 90832 |
Psychotherapy, 30 minutes with patient |
686 |
253 |
$41K |
| H0032 |
Mental health service plan development by non-physician |
191 |
148 |
$37K |
| 80305 |
|
1,909 |
1,497 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
172 |
112 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
234 |
202 |
$12K |
| 99215 |
Prolong outpt/office vis |
106 |
97 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
80 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
330 |
305 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 99406 |
|
21 |
15 |
$174.18 |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
362 |
208 |
$3.62 |