| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
624 |
561 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
380 |
346 |
$19K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
38 |
25 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
12 |
$1K |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
102 |
61 |
$190.82 |