| Code | Description | Claims | Beneficiaries | Total Paid |
| T1017 |
Targeted case management, each 15 minutes |
1,812 |
1,261 |
$525K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,166 |
1,486 |
$330K |
| 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 |
2,590 |
407 |
$328K |
| 90791 |
Psychiatric diagnostic evaluation |
40 |
39 |
$5K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
17 |
17 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
38 |
$3K |
| 80305 |
|
278 |
125 |
$2K |