| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2025 |
Waiver services; not otherwise specified (nos) |
12,534 |
3,684 |
$1.87M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
3,908 |
218 |
$1.47M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
4,166 |
219 |
$1.28M |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,389 |
1,487 |
$400K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
3,672 |
558 |
$322K |
| 97156 |
|
1,667 |
201 |
$218K |
| T2023 |
Targeted case management; per month |
469 |
380 |
$114K |
| 97152 |
|
556 |
147 |
$113K |
| 97157 |
|
628 |
158 |
$73K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
165 |
56 |
$3K |
| 98968 |
|
81 |
74 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
59 |
16 |
$1K |