| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0201 |
Partial hospitalization serv |
10,705 |
1,175 |
$7.80M |
| H0035 |
Mh partial hosp tx under 24h |
19,729 |
2,646 |
$7.16M |
| S9480 |
Intensive outpatient psychia |
10,841 |
1,342 |
$6.09M |
| 99233 |
Prolong inpt eval add15 m |
37,428 |
11,957 |
$3.44M |
| S9475 |
Ambulatory setting substance |
4,761 |
586 |
$2.19M |
| 99232 |
|
36,854 |
14,660 |
$2.19M |
| 99223 |
Prolong inpt eval add15 m |
8,579 |
7,974 |
$1.68M |
| 99239 |
|
7,582 |
7,051 |
$756K |
| 90792 |
|
2,954 |
2,782 |
$449K |
| 99238 |
|
3,158 |
2,792 |
$216K |
| 99231 |
|
6,166 |
5,037 |
$166K |
| H2035 |
A/d tx program, per hour |
793 |
60 |
$74K |
| H0015 |
Alcohol and/or drug services |
148 |
12 |
$21K |
| 90791 |
|
316 |
296 |
$14K |
| G0410 |
Grp psych php/iop 45-50 |
260 |
30 |
$9K |
| 99222 |
|
45 |
41 |
$6K |
| 96101 |
|
17 |
16 |
$2K |
| G0177 |
Opps/php/iop; train & educ |
726 |
83 |
$1K |
| 90833 |
|
40 |
16 |
$640.00 |
| 84443 |
|
454 |
409 |
$199.54 |
| 80053 |
|
607 |
517 |
$197.25 |
| 80061 |
|
34 |
31 |
$79.67 |
| 85025 |
|
518 |
464 |
$53.30 |
| 82947 |
|
15 |
12 |
$40.85 |
| 87491 |
|
16 |
14 |
$36.26 |
| 86803 |
|
27 |
27 |
$14.75 |
| 36415 |
|
54 |
39 |
$12.50 |
| 86593 |
|
30 |
30 |
$4.55 |
| G0176 |
Opps/php/iop; activity thrpy |
245 |
29 |
$0.00 |
| 86703 |
|
30 |
30 |
$0.00 |