| Code | Description | Claims | Beneficiaries | Total Paid |
| 90876 |
|
2,232 |
483 |
$205K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
224 |
$20K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
109 |
36 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
49 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
45 |
45 |
$5K |
| T1016 |
Case management, each 15 minutes |
76 |
22 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
12 |
$1K |
| 96020 |
|
23 |
18 |
$0.00 |