| Code | Description | Claims | Beneficiaries | Total Paid |
| S9480 |
Intensive outpatient psychiatric services, per diem |
1,826 |
338 |
$197K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,267 |
3,907 |
$126K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,056 |
475 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
918 |
503 |
$19K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
78 |
12 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
295 |
199 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
23 |
15 |
$2K |
| 99221 |
|
17 |
12 |
$166.64 |