| Code | Description | Claims | Beneficiaries | Total Paid |
| T2022 |
Case management, per month |
1,498 |
1,454 |
$582K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,684 |
4,135 |
$295K |
| 99408 |
|
1,500 |
1,457 |
$265K |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
1,504 |
1,459 |
$201K |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
123 |
86 |
$37K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
120 |
86 |
$25K |
| 90837 |
Psychotherapy, 53 minutes with patient |
145 |
93 |
$9K |
| 99205 |
Prolong outpt/office vis |
65 |
60 |
$7K |
| 96127 |
|
1,564 |
1,385 |
$5K |
| 80305 |
|
386 |
372 |
$3K |
| 99215 |
Prolong outpt/office vis |
31 |
29 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$405.83 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
65 |
$121.50 |