| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
68,690 |
2,857 |
$7.00M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
61,406 |
25,314 |
$1.76M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20,714 |
8,897 |
$730K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,933 |
3,554 |
$368K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,764 |
2,688 |
$346K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,672 |
2,369 |
$260K |
| 90791 |
Psychiatric diagnostic evaluation |
1,186 |
1,081 |
$170K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
753 |
701 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,568 |
2,937 |
$50K |
| 99223 |
Prolong inpt eval add15 m |
485 |
424 |
$45K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
505 |
468 |
$33K |
| 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 |
1,318 |
142 |
$25K |
| Q3014 |
Telehealth originating site facility fee |
2,930 |
2,579 |
$25K |
| 99233 |
Prolong inpt eval add15 m |
268 |
195 |
$23K |
| 96136 |
|
419 |
370 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,030 |
953 |
$14K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
113 |
102 |
$9K |
| 99221 |
|
74 |
74 |
$8K |
| 99442 |
|
365 |
317 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
123 |
76 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
24 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
348 |
330 |
$3K |
| 92551 |
|
12 |
12 |
$729.60 |
| 96101 |
|
12 |
12 |
$695.64 |
| 99441 |
|
45 |
45 |
$512.61 |
| 92015 |
Determination of refractive state |
25 |
24 |
$129.00 |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
162 |
154 |
$0.00 |