| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9480 |
Intensive outpatient psychiatric services, per diem |
17,052 |
1,791 |
$6.27M |
| 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 |
9,222 |
1,690 |
$4.05M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
8,666 |
2,837 |
$989K |
| H0031 |
Mental health assessment, by non-physician |
1,002 |
996 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
899 |
654 |
$42K |
| 90791 |
Psychiatric diagnostic evaluation |
247 |
246 |
$38K |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,088 |
314 |
$36K |
| T1016 |
Case management, each 15 minutes |
729 |
546 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
363 |
347 |
$31K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,087 |
313 |
$24K |
| 90832 |
Psychotherapy, 30 minutes with patient |
274 |
130 |
$15K |
| 90834 |
Psychotherapy, 45 minutes with patient |
399 |
190 |
$13K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
50 |
50 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
68 |
$5K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
1,014 |
346 |
$4K |
| H2014 |
Skills training and development, per 15 minutes |
136 |
68 |
$4K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
213 |
26 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
53 |
53 |
$1K |