| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
24,891 |
2,074 |
$1.96M |
| 90834 |
Psychotherapy, 45 minutes with patient |
16,052 |
11,154 |
$1.21M |
| H2018 |
Psychosocial rehabilitation services, per diem |
2,243 |
73 |
$598K |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
2,298 |
97 |
$598K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,899 |
4,501 |
$417K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,491 |
4,341 |
$298K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
435 |
435 |
$129K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
12,385 |
853 |
$109K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
1,074 |
114 |
$79K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,469 |
1,239 |
$74K |
| A0425 |
Ground mileage, per statute mile |
12,399 |
854 |
$60K |
| T1017 |
Targeted case management, each 15 minutes |
181 |
85 |
$29K |
| 99215 |
Prolong outpt/office vis |
209 |
206 |
$27K |
| 90791 |
Psychiatric diagnostic evaluation |
250 |
250 |
$26K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
90 |
37 |
$18K |
| H2015 |
Comprehensive community support services, per 15 minutes |
144 |
65 |
$16K |
| 99442 |
|
132 |
126 |
$331.24 |