| Code | Description | Claims | Beneficiaries | Total Paid |
| S9480 |
Intensive outpatient psychiatric services, per diem |
1,716 |
207 |
$221K |
| 90876 |
|
3,323 |
668 |
$202K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
321 |
161 |
$33K |
| H2011 |
Crisis intervention service, per 15 minutes |
107 |
33 |
$30K |
| Q3014 |
Telehealth originating site facility fee |
3,198 |
624 |
$24K |
| 90837 |
Psychotherapy, 53 minutes with patient |
58 |
44 |
$2K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
40 |
39 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 96150 |
|
27 |
25 |
$0.00 |