| 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 |
5,425 |
690 |
$610K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,833 |
667 |
$164K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
10,954 |
1,463 |
$96K |
| A0425 |
Ground mileage, per statute mile |
10,929 |
1,464 |
$53K |
| 90832 |
Psychotherapy, 30 minutes with patient |
344 |
85 |
$23K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
368 |
103 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
65 |
$6K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
62 |
24 |
$3K |