| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
79,527 |
32,688 |
$3.68M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,226 |
46,709 |
$2.36M |
| T1017 |
Targeted case management, each 15 minutes |
83,230 |
32,070 |
$1.75M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
42,125 |
17,040 |
$1.35M |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
1,044 |
941 |
$1.09M |
| 90834 |
Psychotherapy, 45 minutes with patient |
51,079 |
23,815 |
$889K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
10,178 |
2,913 |
$761K |
| 90791 |
Psychiatric diagnostic evaluation |
11,358 |
8,615 |
$752K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
16,472 |
11,089 |
$328K |
| H0038 |
Self-help/peer services, per 15 minutes |
15,596 |
5,411 |
$302K |
| H0032 |
Mental health service plan development by non-physician |
12,918 |
8,583 |
$279K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
12,750 |
4,898 |
$245K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
5,468 |
1,524 |
$227K |
| H0031 |
Mental health assessment, by non-physician |
5,946 |
3,962 |
$224K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,521 |
5,657 |
$195K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
4,332 |
149 |
$189K |
| H2011 |
Crisis intervention service, per 15 minutes |
4,183 |
2,359 |
$178K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
10,084 |
3,831 |
$152K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,604 |
3,995 |
$137K |
| H0033 |
Oral medication administration, direct observation |
12,229 |
1,476 |
$122K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
6,980 |
2,117 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,659 |
7,223 |
$113K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
1,855 |
1,076 |
$109K |
| H2032 |
Activity therapy, per 15 minutes |
4,248 |
1,462 |
$98K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
2,826 |
1,605 |
$62K |
| H0006 |
Alcohol and/or drug services; case management |
1,567 |
820 |
$60K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
2,098 |
448 |
$44K |
| 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) |
13,038 |
1,859 |
$37K |
| H0034 |
Medication training and support, per 15 minutes |
1,088 |
643 |
$35K |
| 99350 |
Prolong home eval add 15m |
1,616 |
897 |
$33K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
18,467 |
1,822 |
$31K |
| H2027 |
Psychoeducational service, per 15 minutes |
3,538 |
1,815 |
$27K |
| H2014 |
Skills training and development, per 15 minutes |
2,880 |
1,119 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
145 |
$11K |
| 99215 |
Prolong outpt/office vis |
288 |
199 |
$9K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
4,512 |
1,211 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
72 |
54 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
207 |
134 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
136 |
95 |
$1K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
1,725 |
658 |
$148.25 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
746 |
472 |
$35.80 |
| H0045 |
Respite care services, not in the home, per diem |
631 |
74 |
$0.00 |
| 99201 |
|
95 |
27 |
$0.00 |
| 90899 |
|
2,195 |
554 |
$0.00 |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
5,722 |
1,481 |
$0.00 |
| 99443 |
|
54 |
18 |
$0.00 |