| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,501 |
1,363 |
$80K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,801 |
1,055 |
$26K |
| T1016 |
Case management, each 15 minutes |
2,823 |
1,419 |
$21K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
121 |
120 |
$16K |
| H0031 |
Mental health assessment, by non-physician |
241 |
235 |
$9K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,784 |
549 |
$5K |
| 99215 |
Prolong outpt/office vis |
56 |
55 |
$5K |
| H2014 |
Skills training and development, per 15 minutes |
1,713 |
468 |
$4K |
| H2027 |
Psychoeducational service, per 15 minutes |
207 |
131 |
$144.12 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
48 |
17 |
$7.27 |
| S0215 |
Non-emergency transportation; mileage, per mile |
46 |
17 |
$1.53 |