| 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 |
22,214 |
2,537 |
$2.47M |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,181 |
753 |
$197K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,528 |
766 |
$97K |
| 90791 |
Psychiatric diagnostic evaluation |
255 |
238 |
$41K |
| A0425 |
Ground mileage, per statute mile |
3,171 |
567 |
$16K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
1,637 |
303 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
97 |
$14K |