| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9480 |
Intensive outpatient psychiatric services, per diem |
1,177 |
119 |
$558K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,028 |
2,248 |
$379K |
| 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 |
1,312 |
439 |
$261K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,659 |
939 |
$130K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,773 |
2,116 |
$95K |
| 90837 |
Psychotherapy, 53 minutes with patient |
421 |
188 |
$79K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
237 |
212 |
$71K |
| T1016 |
Case management, each 15 minutes |
1,986 |
975 |
$32K |
| H0031 |
Mental health assessment, by non-physician |
156 |
145 |
$29K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
325 |
274 |
$11K |
| H2026 |
Ongoing support to maintain employment, per diem |
23 |
15 |
$6K |
| 90836 |
|
50 |
35 |
$4K |
| 99205 |
Prolong outpt/office vis |
20 |
20 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$212.50 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
100 |
86 |
$136.00 |
| 99223 |
Prolong inpt eval add15 m |
52 |
50 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
439 |
301 |
$0.00 |