| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
103,694 |
11,261 |
$68.85M |
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
10,270 |
1,214 |
$4.73M |
| 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 |
7,761 |
1,131 |
$1.87M |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
9,233 |
410 |
$1.77M |
| 90791 |
Psychiatric diagnostic evaluation |
8,262 |
7,832 |
$899K |
| 80305 |
|
37,648 |
12,730 |
$340K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,317 |
3,052 |
$294K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,905 |
5,532 |
$242K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,508 |
5,293 |
$232K |
| 99215 |
Prolong outpt/office vis |
2,215 |
2,147 |
$231K |
| 99205 |
Prolong outpt/office vis |
2,021 |
1,808 |
$206K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
317 |
81 |
$189K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
4,633 |
1,081 |
$87K |
| H0006 |
Alcohol and/or drug services; case management |
367 |
359 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,235 |
890 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
793 |
732 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,038 |
689 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
849 |
762 |
$24K |
| 82075 |
|
3,664 |
3,058 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,668 |
1,134 |
$11K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
350 |
197 |
$10K |
| 99417 |
Prolong home eval add 15m |
346 |
316 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
55 |
54 |
$8K |
| 81025 |
|
914 |
661 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
77 |
57 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
27 |
15 |
$2K |
| 0011A |
|
136 |
132 |
$1K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
156 |
108 |
$375.32 |
| 0012A |
|
22 |
19 |
$248.84 |
| J0571 |
Buprenorphine, oral, 1 mg |
63 |
26 |
$0.00 |