| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,346 |
5,587 |
$902K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
3,825 |
2,765 |
$264K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,207 |
1,033 |
$181.04 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,497 |
1,160 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
231 |
217 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,542 |
2,736 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
282 |
271 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,749 |
1,530 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
334 |
295 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
44 |
44 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
73 |
65 |
$0.00 |