| 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 |
13,061 |
1,586 |
$1.47M |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,495 |
1,359 |
$412K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
3,584 |
436 |
$280K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
21,004 |
2,979 |
$187K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
4,910 |
1,119 |
$135K |
| A0425 |
Ground mileage, per statute mile |
20,908 |
2,965 |
$104K |
| 99215 |
Prolong outpt/office vis |
140 |
131 |
$20K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
60 |
60 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
155 |
$18K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
3,684 |
1,084 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
42 |
40 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$1K |