| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case management; per month |
63,018 |
61,896 |
$23.05M |
| H0040 |
Assertive community treatment program, per diem |
26,685 |
3,273 |
$4.76M |
| 90837 |
Psychotherapy, 53 minutes with patient |
10,349 |
4,069 |
$1.08M |
| G9002 |
Coordinated care fee, maintenance rate |
9,595 |
9,483 |
$926K |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
1,599 |
1,488 |
$892K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
790 |
708 |
$60K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
345 |
279 |
$20K |
| H0046 |
Mental health services, not otherwise specified |
3,207 |
1,327 |
$18K |
| 99215 |
Prolong outpt/office vis |
33 |
28 |
$4K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
24 |
24 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
21 |
12 |
$2K |
| 80306 |
|
58 |
50 |
$556.42 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |