| Code | Description | Claims | Beneficiaries | Total Paid |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
2,883 |
335 |
$1.02M |
| 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 |
2,374 |
258 |
$299K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
253 |
104 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
155 |
107 |
$9K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
358 |
111 |
$5K |
| H0038 |
Self-help/peer services, per 15 minutes |
114 |
38 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |