| H0004 | Behavioral health counseling and therapy, per 15 minutes | 205 | 620 | 6,640 | $70 | $1.2M |
| G9009 | Coordinated care fee, risk adjusted maintenance, level 3 | 30 | 70 | 320 | $320 | $317.4K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 630 | 1,680 | 820 | $90 | $307K |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | 7 | 40 | 140 | $970 | $285.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,411 | 1,750 | 870 | $70 | $254.4K |
| T1017 | Targeted case management, each 15 minutes | 111 | 280 | 930 | $30 | $88.4K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 77 | 300 | 100 | $150 | $79.5K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 107 | 130 | 330 | $20 | $67.2K |
| 90833 | In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the… | 70 | 80 | 330 | $60 | $60.5K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 122 | 170 | 470 | $20 | $54.2K |