| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
37,152 |
2,134 |
$16.30M |
| 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 |
5,514 |
237 |
$822K |
| Q3014 |
Telehealth originating site facility fee |
346 |
240 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
43 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$118.13 |