| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
1,090 |
785 |
$244K |
| H2035 |
Alcohol and/or other drug treatment program, per hour |
1,011 |
83 |
$195K |
| 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 |
939 |
120 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,437 |
1,771 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
503 |
370 |
$21K |
| H0038 |
Self-help/peer services, per 15 minutes |
87 |
41 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
56 |
39 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
30 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
152 |
147 |
$51.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
36 |
$0.00 |
| 99442 |
|
134 |
129 |
$0.00 |