| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2012 |
Behavioral health day treatment, per hour |
288,796 |
24,674 |
$24.01M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
130,607 |
9,082 |
$9.07M |
| 90834 |
Psychotherapy, 45 minutes with patient |
98,419 |
65,142 |
$7.09M |
| H2030 |
Mental health clubhouse services, per 15 minutes |
98,243 |
6,426 |
$6.25M |
| H2015 |
Comprehensive community support services, per 15 minutes |
80,762 |
34,799 |
$5.37M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
71,000 |
30,376 |
$4.41M |
| 90837 |
Psychotherapy, 53 minutes with patient |
37,225 |
27,270 |
$3.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,178 |
29,337 |
$2.49M |
| 90832 |
Psychotherapy, 30 minutes with patient |
39,426 |
29,059 |
$2.19M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,271 |
34,370 |
$1.80M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
23,292 |
2,847 |
$1.68M |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
20,388 |
15,745 |
$1.67M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
19,521 |
15,648 |
$1.66M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
4,422 |
368 |
$1.52M |
| T2048 |
Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem |
2,974 |
344 |
$1.24M |
| H0031 |
Mental health assessment, by non-physician |
11,890 |
9,633 |
$927K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
6,118 |
5,425 |
$730K |
| T1002 |
Rn services, up to 15 minutes |
38,889 |
35,055 |
$676K |
| H0038 |
Self-help/peer services, per 15 minutes |
11,130 |
4,195 |
$362K |
| H0032 |
Mental health service plan development by non-physician |
19,011 |
17,196 |
$327K |
| H2011 |
Crisis intervention service, per 15 minutes |
4,334 |
3,174 |
$326K |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
208 |
166 |
$306K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13,858 |
11,954 |
$165K |
| T1017 |
Targeted case management, each 15 minutes |
6,809 |
6,159 |
$152K |
| J0401 |
Injection, aripiprazole (abilify maintena), 1 mg |
115 |
80 |
$126K |
| T2023 |
Targeted case management; per month |
151 |
80 |
$103K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,725 |
910 |
$75K |
| 99215 |
Prolong outpt/office vis |
380 |
325 |
$37K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
300 |
48 |
$19K |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
394 |
303 |
$18K |
| 96127 |
|
6,826 |
6,270 |
$18K |
| Q3014 |
Telehealth originating site facility fee |
610 |
562 |
$17K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
351 |
64 |
$11K |