| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90868 |
|
2,683 |
206 |
$392K |
| 98960 |
|
1,082 |
98 |
$29K |
| 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 |
174 |
30 |
$24K |
| 90869 |
|
54 |
28 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
126 |
57 |
$8K |
| Q3014 |
Telehealth originating site facility fee |
202 |
38 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
16 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
27 |
27 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$804.36 |
| 99409 |
|
15 |
14 |
$565.23 |
| 90863 |
|
12 |
12 |
$540.60 |
| 99407 |
|
15 |
14 |
$213.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
14 |
$156.42 |