| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
5,267 |
492 |
$4.23M |
| S9480 |
Intensive outpatient psychiatric services, per diem |
2,948 |
338 |
$1.14M |
| 90837 |
Psychotherapy, 53 minutes with patient |
144 |
75 |
$15K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
56 |
50 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19 |
19 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
20 |
20 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
19 |
19 |
$1K |
| 80053 |
Comprehensive metabolic panel |
20 |
19 |
$248.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35 |
34 |
$75.76 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
21 |
$62.00 |