| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assertive community treatment program, per diem |
57,676 |
46,919 |
$16.04M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
165,838 |
79,482 |
$10.98M |
| H2020 |
Therapeutic behavioral services, per diem |
20,101 |
6,611 |
$3.32M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
74,040 |
35,241 |
$2.47M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
38,068 |
28,421 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,080 |
12,353 |
$1.07M |
| H2012 |
Behavioral health day treatment, per hour |
8,849 |
4,089 |
$448K |
| 90791 |
Psychiatric diagnostic evaluation |
4,224 |
4,007 |
$432K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,883 |
7,078 |
$411K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,095 |
631 |
$98K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,107 |
309 |
$23K |
| H0038 |
Self-help/peer services, per 15 minutes |
284 |
149 |
$19K |
| 99215 |
Prolong outpt/office vis |
172 |
154 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,107 |
943 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
200 |
144 |
$13K |
| 99310 |
Prolong nursin fac eval 15m |
675 |
517 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
869 |
642 |
$5K |
| 90785 |
|
348 |
292 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,016 |
502 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
38 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
14 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
205 |
175 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
222 |
191 |
$460.78 |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
12 |
$439.85 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
121 |
39 |
$191.20 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
37 |
15 |
$140.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
34 |
27 |
$54.96 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
809 |
718 |
$1.80 |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
35 |
31 |
$0.07 |