| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
5,662 |
708 |
$623K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,269 |
586 |
$121K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,535 |
580 |
$73K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
8,060 |
1,477 |
$64K |
| A0425 |
Ground mileage, per statute mile |
7,907 |
1,459 |
$35K |
| 90832 |
Psychotherapy, 30 minutes with patient |
308 |
142 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
41 |
$6K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
710 |
262 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
14 |
$2K |