| Code | Description | Claims | Beneficiaries | Total Paid |
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
8,230 |
822 |
$3.66M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
3,274 |
319 |
$628K |
| H0006 |
Alcohol and/or drug services; case management |
1,041 |
627 |
$161K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
7,307 |
811 |
$106K |
| 82075 |
|
17,068 |
1,452 |
$45K |
| 80306 |
|
3,205 |
544 |
$29K |
| 96156 |
|
449 |
347 |
$22K |
| 80305 |
|
3,674 |
631 |
$20K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
121 |
66 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
153 |
57 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
191 |
77 |
$6K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
225 |
118 |
$3K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
124 |
67 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
38 |
16 |
$1K |
| 96127 |
|
669 |
538 |
$718.14 |
| 99205 |
Prolong outpt/office vis |
140 |
73 |
$644.55 |