| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
730 |
431 |
$81K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,067 |
2,873 |
$41K |
| 96165 |
|
596 |
137 |
$31K |
| 96153 |
|
275 |
73 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,713 |
2,454 |
$20K |
| 96164 |
|
598 |
137 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
589 |
413 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
330 |
279 |
$5K |
| Q3014 |
Telehealth originating site facility fee |
1,928 |
1,675 |
$4K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
141 |
82 |
$3K |
| T1017 |
Targeted case management, each 15 minutes |
187 |
161 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
389 |
274 |
$773.46 |
| 0002A |
|
13 |
13 |
$360.00 |
| H0046 |
Mental health services, not otherwise specified |
37 |
37 |
$316.80 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
13 |
$142.54 |
| H2015 |
Comprehensive community support services, per 15 minutes |
221 |
146 |
$0.00 |