| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
7,449 |
6,579 |
$1.16M |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,689 |
3,467 |
$186K |
| G9002 |
Coordinated care fee, maintenance rate |
1,506 |
222 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,659 |
3,197 |
$97K |
| 90791 |
Psychiatric diagnostic evaluation |
788 |
734 |
$34K |
| 90832 |
Psychotherapy, 30 minutes with patient |
574 |
382 |
$11K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
517 |
459 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
141 |
$3K |
| 90836 |
|
57 |
55 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
61 |
$2K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
5,805 |
4,416 |
$0.00 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
1,447 |
1,220 |
$0.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
2,832 |
2,299 |
$0.00 |