| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,930 |
2,163 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,796 |
1,704 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
178 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
82 |
82 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
131 |
131 |
$9K |
| T1017 |
Targeted case management, each 15 minutes |
164 |
158 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$278.40 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
22 |
22 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
23 |
22 |
$0.00 |