| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Community-based wrap-around services, per diem |
63,593 |
12,628 |
$27.66M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
96,595 |
8,912 |
$6.01M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
34,559 |
5,143 |
$4.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,107 |
19,906 |
$1.91M |
| T1017 |
Targeted case management, each 15 minutes |
6,352 |
4,903 |
$1.70M |
| 90837 |
Psychotherapy, 53 minutes with patient |
13,624 |
8,665 |
$1.04M |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,599 |
6,347 |
$452K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,431 |
5,677 |
$420K |
| Q3014 |
Telehealth originating site facility fee |
18,304 |
12,406 |
$300K |
| 99215 |
Prolong outpt/office vis |
1,929 |
1,471 |
$244K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,310 |
2,672 |
$173K |
| 90791 |
Psychiatric diagnostic evaluation |
878 |
764 |
$89K |
| 99443 |
|
1,210 |
911 |
$53K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,264 |
470 |
$41K |
| 99199 |
Unlisted special service, procedure or report |
6,817 |
3,338 |
$36K |
| 98968 |
|
657 |
387 |
$18K |
| 99406 |
|
1,823 |
1,326 |
$17K |
| T1016 |
Case management, each 15 minutes |
895 |
249 |
$16K |
| 99205 |
Prolong outpt/office vis |
75 |
66 |
$11K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
154 |
121 |
$10K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
396 |
241 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
62 |
$8K |
| 99442 |
|
204 |
162 |
$6K |
| 98967 |
|
120 |
88 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$925.44 |
| 98966 |
|
35 |
24 |
$546.63 |
| 90785 |
|
137 |
88 |
$390.03 |
| 96127 |
|
109 |
71 |
$205.45 |