| 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 |
32,217 |
2,901 |
$3.57M |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,678 |
890 |
$158K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,346 |
690 |
$65K |
| A0425 |
Ground mileage, per statute mile |
12,578 |
1,890 |
$57K |
| 90791 |
Psychiatric diagnostic evaluation |
250 |
250 |
$40K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
14,583 |
2,908 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
287 |
252 |
$20K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
4,131 |
1,153 |
$19K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |