| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,086 |
1,825 |
$524K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,042 |
876 |
$87.52 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
385 |
314 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
23 |
12 |
$0.00 |
| S5110 |
Home care training, family; per 15 minutes |
27 |
23 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
46 |
18 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
19 |
14 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
13 |
12 |
$0.00 |