| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Community-based wrap-around services, per diem |
22,387 |
2,128 |
$5.51M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
4,695 |
415 |
$887K |
| 0365T |
|
6,194 |
516 |
$838K |
| 90837 |
Psychotherapy, 53 minutes with patient |
10,504 |
4,612 |
$775K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
1,726 |
412 |
$392K |
| S5145 |
Foster care, therapeutic, child; per diem |
2,606 |
102 |
$345K |
| 0369T |
|
1,939 |
477 |
$305K |
| 0364T |
|
6,266 |
520 |
$152K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,563 |
1,467 |
$131K |
| 0370T |
|
1,104 |
465 |
$128K |
| 97156 |
|
1,138 |
433 |
$121K |
| 0368T |
|
1,946 |
476 |
$104K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,168 |
740 |
$59K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
593 |
283 |
$40K |
| Q3014 |
Telehealth originating site facility fee |
1,672 |
1,546 |
$36K |
| 90832 |
Psychotherapy, 30 minutes with patient |
614 |
333 |
$24K |
| 97152 |
|
139 |
79 |
$15K |
| 97151 |
|
83 |
27 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
71 |
$9K |
| 0361T |
|
197 |
143 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
138 |
$8K |
| 0360T |
|
279 |
188 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
31 |
31 |
$3K |
| 98968 |
|
14 |
12 |
$356.44 |
| 98967 |
|
17 |
14 |
$295.29 |