| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
2,789 |
2,293 |
$398K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,725 |
1,018 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,263 |
1,099 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
104 |
103 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
114 |
79 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
62 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
88 |
76 |
$1K |
| 90836 |
|
25 |
18 |
$568.12 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
786 |
551 |
$0.00 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
936 |
775 |
$0.00 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
1,583 |
1,279 |
$0.00 |