| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0031 |
Mental health assessment, by non-physician |
2,556 |
2,369 |
$73K |
| T1016 |
Case management, each 15 minutes |
4,104 |
3,691 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
29 |
15 |
$2K |
| H0038 |
Self-help/peer services, per 15 minutes |
2,997 |
1,907 |
$836.34 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
36 |
30 |
$560.77 |
| 90791 |
Psychiatric diagnostic evaluation |
631 |
613 |
$357.24 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
41 |
31 |
$232.28 |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
111 |
107 |
$105.49 |
| 80305 |
|
146 |
135 |
$0.00 |
| 81025 |
|
15 |
15 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
96 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$0.00 |