| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
23,216 |
2,631 |
$2.16M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
446 |
332 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
147 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
43 |
24 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
26 |
$2K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
17 |
15 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
26 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
106 |
89 |
$605.61 |
| 80305 |
|
34 |
17 |
$131.04 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |