| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mh partial hosp tx under 24h |
232,021 |
20,770 |
$69.90M |
| S9480 |
Intensive outpatient psychia |
16,494 |
14,981 |
$11.40M |
| T2034 |
Crisis interven waiver/diem |
6,963 |
6,636 |
$5.97M |
| 90832 |
|
88,075 |
56,183 |
$5.47M |
| 99214 |
|
43,680 |
39,126 |
$3.82M |
| 90837 |
|
22,458 |
14,173 |
$2.67M |
| 90792 |
|
17,677 |
17,407 |
$2.27M |
| 99213 |
|
24,287 |
22,722 |
$2.02M |
| 90853 |
|
28,920 |
9,247 |
$1.24M |
| 90791 |
|
9,265 |
8,972 |
$1.19M |
| 90847 |
|
16,811 |
11,800 |
$1.11M |
| J2426 |
Inj, invega sustenna, 1 mg |
911 |
861 |
$744K |
| 96372 |
|
11,174 |
8,551 |
$641K |
| G0463 |
Hospital outpt clinic visit |
9,827 |
8,284 |
$415K |
| J0401 |
Inj, abilify maintena, 1 mg |
434 |
408 |
$363K |
| 99215 |
Prolong outpt/office vis |
2,342 |
2,130 |
$290K |
| 99212 |
|
3,028 |
2,869 |
$253K |
| 99282 |
|
680 |
675 |
$116K |
| J2794 |
Inj risperdal consta, 0.5 mg |
334 |
181 |
$106K |
| 90846 |
|
551 |
491 |
$38K |
| J1631 |
Haloperidol decanoate inj |
927 |
845 |
$34K |
| 99283 |
|
161 |
158 |
$33K |
| 90834 |
|
825 |
629 |
$31K |
| Q3014 |
Telehealth facility fee |
3,516 |
1,730 |
$16K |
| 99281 |
|
76 |
76 |
$13K |
| S9484 |
Crisis intervention per hour |
56 |
56 |
$6K |
| 80307 |
|
355 |
255 |
$3K |
| 99204 |
|
16 |
16 |
$1K |