| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
10,983 |
1,130 |
$845K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,648 |
3,353 |
$378K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,500 |
3,422 |
$212K |
| 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 |
119 |
28 |
$190K |
| T1017 |
Targeted case management, each 15 minutes |
1,061 |
368 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,929 |
1,909 |
$162K |
| 99215 |
Prolong outpt/office vis |
1,126 |
1,102 |
$125K |
| H0040 |
Assertive community treatment program, per diem |
81 |
81 |
$121K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
403 |
403 |
$103K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
11,144 |
1,104 |
$97K |
| 90791 |
Psychiatric diagnostic evaluation |
650 |
650 |
$91K |
| A0425 |
Ground mileage, per statute mile |
11,249 |
1,125 |
$54K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,638 |
363 |
$43K |
| 90832 |
Psychotherapy, 30 minutes with patient |
263 |
259 |
$15K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
28 |
12 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
32 |
$1K |