| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,942 |
1,473 |
$411K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,505 |
1,328 |
$41K |
| 99442 |
|
1,580 |
1,524 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
104 |
$20K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
65 |
60 |
$16K |
| 90837 |
Psychotherapy, 53 minutes with patient |
127 |
65 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
37 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
114 |
82 |
$1K |
| 98968 |
|
112 |
72 |
$595.27 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
26 |
13 |
$569.24 |
| 99441 |
|
69 |
67 |
$561.66 |
| 99443 |
|
12 |
12 |
$248.64 |
| 90832 |
Psychotherapy, 30 minutes with patient |
53 |
30 |
$56.00 |