| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5145 |
Foster care, therapeutic, child; per diem |
66,995 |
2,457 |
$9.45M |
| H2022 |
Community-based wrap-around services, per diem |
15,564 |
1,519 |
$4.12M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
2,719 |
285 |
$424K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,212 |
2,400 |
$312K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
1,065 |
257 |
$242K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,142 |
2,570 |
$226K |
| 0365T |
|
1,865 |
225 |
$159K |
| T1017 |
Targeted case management, each 15 minutes |
1,513 |
327 |
$136K |
| 0369T |
|
688 |
152 |
$76K |
| 0364T |
|
2,016 |
227 |
$49K |
| 97156 |
|
591 |
283 |
$36K |
| Q3014 |
Telehealth originating site facility fee |
1,472 |
1,183 |
$31K |
| 0368T |
|
699 |
153 |
$24K |
| 0370T |
|
412 |
170 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
164 |
120 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
78 |
78 |
$8K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
82 |
53 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$6K |
| 0360T |
|
110 |
59 |
$6K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
22 |
15 |
$861.96 |
| 98968 |
|
13 |
12 |
$509.34 |
| 98967 |
|
17 |
16 |
$444.04 |