| 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 |
61,379 |
7,662 |
$6.87M |
| 90834 |
Psychotherapy, 45 minutes with patient |
53,323 |
7,594 |
$4.84M |
| 90832 |
Psychotherapy, 30 minutes with patient |
26,475 |
3,346 |
$1.99M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
31,639 |
7,291 |
$825K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,333 |
1,325 |
$586K |
| 90791 |
Psychiatric diagnostic evaluation |
3,439 |
3,403 |
$577K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
12,296 |
2,963 |
$352K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
35,865 |
8,209 |
$317K |
| A0425 |
Ground mileage, per statute mile |
35,711 |
8,195 |
$174K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
732 |
140 |
$161K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
832 |
79 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
989 |
875 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
848 |
783 |
$41K |
| T2022 |
Case management, per month |
482 |
139 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
178 |
$11K |
| 90836 |
|
109 |
100 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
42 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
15 |
$1K |