| Code | Description | Claims | Beneficiaries | Total Paid |
| H0040 |
Assertive community treatment program, per diem |
1,713 |
670 |
$1.18M |
| H0038 |
Self-help/peer services, per 15 minutes |
8,961 |
1,384 |
$961K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,796 |
2,238 |
$303K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,648 |
2,039 |
$284K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,709 |
2,745 |
$237K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,515 |
799 |
$79K |
| Q3014 |
Telehealth originating site facility fee |
1,920 |
926 |
$29K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,635 |
802 |
$25K |
| 90832 |
Psychotherapy, 30 minutes with patient |
257 |
195 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$6K |
| 99199 |
Unlisted special service, procedure or report |
889 |
755 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
24 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
24 |
13 |
$474.24 |