| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
129,967 |
8,080 |
$27.62M |
| 99490 |
Ccm add 20min |
153,966 |
143,061 |
$24.17M |
| H0040 |
Assertive community treatment program, per diem |
103,818 |
5,045 |
$6.06M |
| 90834 |
Psychotherapy, 45 minutes with patient |
59,798 |
41,268 |
$5.67M |
| H0037 |
Community psychiatric supportive treatment program, per diem |
24,003 |
23,648 |
$4.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,462 |
58,817 |
$3.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,452 |
36,041 |
$3.27M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12,597 |
12,179 |
$2.68M |
| S9485 |
Crisis intervention mental health services, per diem |
6,931 |
1,763 |
$2.42M |
| 90791 |
Psychiatric diagnostic evaluation |
15,117 |
14,588 |
$2.01M |
| 96127 |
|
6,797 |
6,550 |
$710K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
7,956 |
1,329 |
$634K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,371 |
4,718 |
$628K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,759 |
7,150 |
$445K |
| Q3014 |
Telehealth originating site facility fee |
13,730 |
12,065 |
$294K |
| T2020 |
Day habilitation, waiver; per diem |
3,506 |
453 |
$270K |
| S9484 |
Crisis intervention mental health services, per hour |
1,134 |
867 |
$248K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,874 |
781 |
$97K |
| 99215 |
Prolong outpt/office vis |
733 |
692 |
$90K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
877 |
311 |
$51K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
227 |
185 |
$27K |
| H0038 |
Self-help/peer services, per 15 minutes |
7,350 |
6,778 |
$26K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
42,555 |
40,622 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
82 |
$12K |
| 80305 |
|
795 |
650 |
$9K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
100 |
24 |
$7K |
| 99442 |
|
597 |
575 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
659 |
584 |
$4K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
18 |
18 |
$3K |
| T1016 |
Case management, each 15 minutes |
320 |
288 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
17 |
13 |
$1K |
| 99426 |
|
2,414 |
2,264 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$769.02 |
| 99441 |
|
96 |
90 |
$614.82 |
| 99443 |
|
25 |
25 |
$265.05 |
| 99307 |
|
44 |
39 |
$61.60 |
| 99439 |
|
8,678 |
8,245 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
8,233 |
7,648 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
71,030 |
67,325 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
1,485 |
1,128 |
$0.00 |
| G2065 |
Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities |
1,811 |
1,607 |
$0.00 |
| 3044F |
|
14 |
14 |
$0.00 |