| Code | Description | Claims | Beneficiaries | Total Paid |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
3,281 |
1,847 |
$768K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,406 |
4,364 |
$497K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,550 |
1,392 |
$102K |
| 99215 |
Prolong outpt/office vis |
719 |
698 |
$61K |
| 90832 |
Psychotherapy, 30 minutes with patient |
558 |
454 |
$21K |
| 90791 |
Psychiatric diagnostic evaluation |
71 |
71 |
$6K |
| 99443 |
|
127 |
122 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
37 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
75 |
43 |
$231.10 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
23 |
12 |
$0.00 |