| Code | Description | Claims | Beneficiaries | Total Paid |
| 90876 |
|
14,139 |
1,620 |
$1.04M |
| Q3014 |
Telehealth originating site facility fee |
13,918 |
1,699 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
320 |
279 |
$17K |
| 90837 |
Psychotherapy, 53 minutes with patient |
141 |
139 |
$9K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
69 |
69 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
191 |
153 |
$5K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
217 |
217 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
81 |
57 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
163 |
143 |
$115.56 |