| Code | Description | Claims | Beneficiaries | Total Paid |
| 90876 |
|
4,211 |
983 |
$352K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
2,862 |
480 |
$330K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,868 |
1,762 |
$252K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,053 |
514 |
$93K |
| 90791 |
Psychiatric diagnostic evaluation |
199 |
190 |
$24K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
430 |
85 |
$8K |
| T1016 |
Case management, each 15 minutes |
184 |
17 |
$3K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
62 |
57 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
22 |
22 |
$288.90 |
| Q3014 |
Telehealth originating site facility fee |
33 |
12 |
$0.00 |