| Code | Description | Claims | Beneficiaries | Total Paid |
| S9480 |
Intensive outpatient psychiatric services, per diem |
6,278 |
637 |
$867K |
| 90876 |
|
5,656 |
841 |
$442K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,292 |
357 |
$122K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
415 |
114 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
400 |
50 |
$16K |
| Q3014 |
Telehealth originating site facility fee |
514 |
168 |
$7K |
| 90901 |
|
120 |
25 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
117 |
51 |
$4K |
| H2011 |
Crisis intervention service, per 15 minutes |
37 |
28 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
18 |
$2K |
| 90839 |
|
15 |
13 |
$450.20 |