| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
9,875 |
3,935 |
$13.81M |
| H0017 |
Behavioral health; residential (hospital residential treatment program), without room and board, per diem |
4,760 |
3,259 |
$4.80M |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
2,382 |
741 |
$1.68M |
| 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 |
8,403 |
1,807 |
$873K |
| 90791 |
Psychiatric diagnostic evaluation |
1,758 |
1,566 |
$226K |
| 99215 |
Prolong outpt/office vis |
1,464 |
1,288 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,466 |
1,729 |
$131K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
637 |
563 |
$95K |
| 90837 |
Psychotherapy, 53 minutes with patient |
628 |
279 |
$65K |
| 99350 |
Prolong home eval add 15m |
270 |
221 |
$44K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,687 |
605 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
365 |
303 |
$30K |
| 90832 |
Psychotherapy, 30 minutes with patient |
247 |
133 |
$14K |
| 99349 |
|
69 |
53 |
$9K |
| 99344 |
|
47 |
46 |
$8K |
| 99347 |
|
151 |
111 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
87 |
86 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
42 |
$2K |
| 99348 |
|
20 |
16 |
$2K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
14 |
13 |
$2K |
| 99253 |
|
14 |
12 |
$1K |
| 80305 |
|
100 |
98 |
$1K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
161 |
51 |
$1K |
| H0038 |
Self-help/peer services, per 15 minutes |
24 |
16 |
$916.86 |