| 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 |
1,964 |
240 |
$257K |
| T1017 |
Targeted case management, each 15 minutes |
167 |
94 |
$35K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,071 |
369 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
599 |
309 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
96 |
67 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
80 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72 |
58 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
84 |
27 |
$2K |