| Code | Description | Claims | Beneficiaries | Total Paid |
| 90876 |
|
58,292 |
9,191 |
$5.12M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,568 |
911 |
$299K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,366 |
1,069 |
$65K |
| H0031 |
Mental health assessment, by non-physician |
189 |
172 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
407 |
331 |
$15K |
| Q3014 |
Telehealth originating site facility fee |
770 |
664 |
$11K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
254 |
219 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
143 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
69 |
46 |
$4K |
| 96132 |
|
28 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
26 |
$650.59 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
13 |
$646.62 |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
12 |
$277.01 |
| 94760 |
|
48 |
38 |
$36.55 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
12 |
12 |
$0.00 |