| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90876 |
|
6,205 |
760 |
$520K |
| Q3014 |
Telehealth originating site facility fee |
3,363 |
482 |
$69K |
| 95816 |
|
186 |
169 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
92 |
$32K |
| 90837 |
Psychotherapy, 53 minutes with patient |
379 |
212 |
$28K |
| 99245 |
|
29 |
24 |
$5K |
| H0031 |
Mental health assessment, by non-physician |
51 |
40 |
$4K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
42 |
38 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
34 |
22 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
16 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
53 |
$1K |
| 96136 |
|
23 |
23 |
$939.09 |
| 96137 |
|
22 |
22 |
$831.82 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
34 |
26 |
$738.48 |