| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
1,772,287 |
496,585 |
$26.84M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
319,136 |
190,468 |
$17.08M |
| H0031 |
Mental health assessment, by non-physician |
67,951 |
64,884 |
$5.79M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105,889 |
97,777 |
$4.41M |
| H2014 |
Skills training and development, per 15 minutes |
37,348 |
18,881 |
$1.50M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13,022 |
12,463 |
$1.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,310 |
41,657 |
$1.35M |
| 90837 |
Psychotherapy, 53 minutes with patient |
12,829 |
8,076 |
$1.06M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
34,620 |
32,965 |
$417K |
| 99442 |
|
4,870 |
4,560 |
$198K |
| 99443 |
|
3,312 |
3,127 |
$191K |
| S5110 |
Home care training, family; per 15 minutes |
4,121 |
2,190 |
$162K |
| H2027 |
Psychoeducational service, per 15 minutes |
6,179 |
3,820 |
$155K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
17,088 |
8,159 |
$115K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
19,979 |
12,700 |
$93K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,305 |
1,123 |
$73K |
| 90791 |
Psychiatric diagnostic evaluation |
466 |
436 |
$54K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,176 |
894 |
$54K |
| T1002 |
Rn services, up to 15 minutes |
2,514 |
2,152 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
331 |
307 |
$22K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,538 |
1,379 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
396 |
370 |
$7K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,311 |
1,526 |
$7K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
330 |
230 |
$5K |
| H0038 |
Self-help/peer services, per 15 minutes |
679 |
390 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
258 |
227 |
$4K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,360 |
1,558 |
$4K |
| 90686 |
|
291 |
231 |
$2K |
| 99215 |
Prolong outpt/office vis |
414 |
407 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
729 |
655 |
$2K |
| 90674 |
|
81 |
56 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
31 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
174 |
125 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
14 |
12 |
$853.83 |
| 99441 |
|
16 |
16 |
$724.04 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
100 |
89 |
$620.64 |
| 0012A |
|
18 |
16 |
$610.00 |
| 92551 |
|
100 |
90 |
$571.68 |
| 0011A |
|
16 |
14 |
$510.00 |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
1,602 |
1,209 |
$473.10 |
| 81002 |
|
147 |
139 |
$453.46 |
| 90688 |
|
49 |
42 |
$404.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
616 |
492 |
$211.08 |
| 81025 |
|
17 |
15 |
$129.19 |
| 99173 |
|
62 |
50 |
$85.47 |
| 90687 |
|
16 |
13 |
$10.81 |
| 1036F |
|
990 |
834 |
$0.00 |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
21 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
246 |
216 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
136 |
95 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
25 |
25 |
$0.00 |