| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
5,753 |
245 |
$1.33M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19,733 |
9,799 |
$833K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,876 |
2,689 |
$463K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,232 |
3,892 |
$325K |
| 99233 |
Prolong inpt eval add15 m |
1,650 |
846 |
$88K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,796 |
1,621 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,094 |
2,909 |
$60K |
| 0365T |
|
280 |
30 |
$21K |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
246 |
38 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
702 |
619 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
134 |
123 |
$10K |
| 0364T |
|
283 |
30 |
$4K |
| 97156 |
|
137 |
54 |
$4K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
32 |
13 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
129 |
43 |
$2K |
| 99442 |
|
157 |
155 |
$2K |
| 99443 |
|
47 |
43 |
$510.13 |
| 90885 |
|
17 |
15 |
$436.56 |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
12 |
$208.41 |
| 99406 |
|
18 |
14 |
$0.00 |