| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,545 |
849 |
$364K |
| 99215 |
Prolong outpt/office vis |
482 |
404 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
267 |
235 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
627 |
302 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
104 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
14 |
$0.00 |