| Code | Description | Claims | Beneficiaries | Total Paid |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
601 |
556 |
$102K |
| 99222 |
Initial hospital care, per day, moderate complexity |
304 |
266 |
$46K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
48 |
47 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
55 |
36 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
23 |
15 |
$3K |
| T1016 |
Case management, each 15 minutes |
179 |
44 |
$0.00 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
114 |
23 |
$0.00 |