| Code | Description | Claims | Beneficiaries | Total Paid |
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
6,771 |
495 |
$3.06M |
| 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 |
5,570 |
729 |
$1.35M |
| H0006 |
Alcohol and/or drug services; case management |
392 |
313 |
$57K |
| 80305 |
|
2,388 |
739 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
393 |
190 |
$19K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
52 |
49 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
72 |
$9K |
| 82075 |
|
2,012 |
673 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
13 |
$586.37 |