| Code | Description | Claims | Beneficiaries | Total Paid |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
9,747 |
2,385 |
$635K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
6,621 |
2,031 |
$528K |
| 90791 |
Psychiatric diagnostic evaluation |
568 |
430 |
$27K |
| 96156 |
|
137 |
85 |
$10K |
| T2003 |
Non-emergency transportation; encounter/trip |
111 |
35 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
54 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$728.29 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
24 |
$619.75 |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
111 |
35 |
$408.12 |