| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
239 |
212 |
$12K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
35 |
30 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
98 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
76 |
42 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$1K |