| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
51,176 |
5,643 |
$4.38M |
| S9480 |
Intensive outpatient psychiatric services, per diem |
4,116 |
3,790 |
$3.38M |
| T1017 |
Targeted case management, each 15 minutes |
15,933 |
5,254 |
$3.28M |
| T2034 |
Crisis intervention, waiver; per diem |
3,223 |
3,008 |
$2.78M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,265 |
18,760 |
$1.67M |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,733 |
10,729 |
$1.45M |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
20,157 |
19,357 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,591 |
18,084 |
$1.04M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,468 |
2,465 |
$893K |
| 90791 |
Psychiatric diagnostic evaluation |
2,516 |
2,511 |
$375K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,434 |
3,690 |
$298K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
31,855 |
3,144 |
$277K |
| A0425 |
Ground mileage, per statute mile |
31,861 |
3,150 |
$151K |
| S9484 |
Crisis intervention mental health services, per hour |
198 |
112 |
$62K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
637 |
577 |
$3K |
| 99442 |
|
446 |
372 |
$3K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
92 |
65 |
$871.19 |
| 99443 |
|
452 |
378 |
$397.93 |