| Code | Description | Claims | Beneficiaries | Total Paid |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
6,775 |
971 |
$2.35M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
11,579 |
5,107 |
$84K |
| 99233 |
Prolong inpt eval add15 m |
3,198 |
948 |
$73K |
| 99223 |
Prolong inpt eval add15 m |
1,782 |
1,660 |
$56K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,983 |
891 |
$44K |
| G0410 |
Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes |
3,101 |
419 |
$30K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
36 |
34 |
$14K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
35 |
34 |
$14K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
34 |
34 |
$14K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
409 |
393 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
193 |
191 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
34 |
31 |
$4K |
| 80053 |
Comprehensive metabolic panel |
110 |
93 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
107 |
89 |
$974.48 |
| 99221 |
|
20 |
18 |
$349.43 |
| 80061 |
Lipid panel |
30 |
29 |
$129.28 |
| 85610 |
|
16 |
12 |
$76.00 |
| G0177 |
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
2,991 |
407 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
38 |
35 |
$0.00 |