| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
14,773 |
2,132 |
$1.62M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
8,881 |
1,965 |
$244K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,760 |
1,041 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,175 |
1,032 |
$64K |
| 90791 |
Psychiatric diagnostic evaluation |
370 |
367 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
464 |
381 |
$56K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
80 |
79 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
114 |
73 |
$8K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
80 |
57 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
24 |
$2K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
130 |
34 |
$1K |
| A0425 |
Ground mileage, per statute mile |
130 |
34 |
$645.00 |