| Code | Description | Claims | Beneficiaries | Total Paid |
| 90876 |
|
8,203 |
1,082 |
$650K |
| Q3014 |
Telehealth originating site facility fee |
10,385 |
1,437 |
$240K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,959 |
1,091 |
$165K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,597 |
687 |
$79K |
| 90785 |
|
7,801 |
1,262 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
612 |
94 |
$46K |
| 97032 |
|
611 |
93 |
$32K |
| 95812 |
|
58 |
58 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
176 |
137 |
$10K |
| H0031 |
Mental health assessment, by non-physician |
56 |
56 |
$9K |
| 98960 |
|
325 |
39 |
$8K |
| 96132 |
|
58 |
58 |
$7K |
| 99442 |
|
163 |
31 |
$4K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
116 |
116 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
55 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
32 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
18 |
18 |
$2K |
| 96136 |
|
58 |
58 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
16 |
$2K |
| 96137 |
|
43 |
43 |
$2K |