| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
3,114 |
1,255 |
$367K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,252 |
649 |
$109K |
| 90832 |
Psychotherapy, 30 minutes with patient |
726 |
449 |
$31K |
| 0012A |
|
382 |
381 |
$18K |
| 0002A |
|
379 |
379 |
$18K |
| 0001A |
|
381 |
381 |
$17K |
| 0011A |
|
379 |
379 |
$15K |
| 90887 |
|
303 |
225 |
$13K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
99 |
79 |
$12K |
| T1015 |
Clinic visit/encounter, all-inclusive |
93 |
78 |
$9K |
| 90785 |
|
497 |
213 |
$6K |
| 90882 |
|
143 |
65 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$1K |
| 0031A |
|
29 |
29 |
$1K |