| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
1,002,552 |
475,138 |
$35.87M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
137,265 |
8,026 |
$32.84M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
364,490 |
157,004 |
$21.12M |
| H0031 |
Mental health assessment, by non-physician |
77,406 |
75,603 |
$10.91M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
89,953 |
5,499 |
$8.19M |
| H2010 |
Comprehensive medication services, per 15 minutes |
423,454 |
36,265 |
$4.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62,303 |
57,484 |
$4.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,528 |
66,991 |
$3.61M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
17,264 |
2,861 |
$2.75M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
18,997 |
18,319 |
$2.70M |
| H2027 |
Psychoeducational service, per 15 minutes |
44,055 |
18,469 |
$1.67M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
567,449 |
36,452 |
$1.64M |
| 90837 |
Psychotherapy, 53 minutes with patient |
10,307 |
6,159 |
$1.04M |
| T1003 |
Lpn/lvn services, up to 15 minutes |
35,363 |
22,349 |
$829K |
| 99233 |
Prolong inpt eval add15 m |
6,187 |
1,239 |
$674K |
| H0038 |
Self-help/peer services, per 15 minutes |
24,583 |
10,227 |
$526K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,100 |
1,507 |
$519K |
| S5110 |
Home care training, family; per 15 minutes |
23,040 |
15,068 |
$440K |
| H2014 |
Skills training and development, per 15 minutes |
16,116 |
8,799 |
$281K |
| T1002 |
Rn services, up to 15 minutes |
7,709 |
6,949 |
$241K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
10,476 |
5,687 |
$232K |
| H0001 |
Alcohol and/or drug assessment |
6,714 |
4,820 |
$200K |
| 99215 |
Prolong outpt/office vis |
1,467 |
1,372 |
$165K |
| S0215 |
Non-emergency transportation; mileage, per mile |
10,450 |
4,625 |
$141K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,168 |
1,864 |
$113K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,377 |
1,008 |
$105K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
10,340 |
4,567 |
$64K |
| H0033 |
Oral medication administration, direct observation |
3,917 |
736 |
$60K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,330 |
597 |
$56K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
832 |
789 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,462 |
1,354 |
$55K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
2,542 |
2,004 |
$35K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
507 |
354 |
$34K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
2,348 |
1,804 |
$21K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,020 |
990 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
237 |
220 |
$17K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
25,529 |
15,536 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
65 |
65 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,930 |
2,600 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
86 |
$9K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
4,783 |
2,229 |
$8K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
68 |
50 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
440 |
404 |
$6K |
| H2012 |
Behavioral health day treatment, per hour |
165 |
24 |
$6K |
| 93000 |
|
437 |
431 |
$6K |
| 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) |
884 |
231 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
280 |
269 |
$5K |
| H0034 |
Medication training and support, per 15 minutes |
438 |
274 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
50 |
$3K |
| 90674 |
|
81 |
77 |
$2K |
| 99201 |
|
44 |
44 |
$2K |
| 99205 |
Prolong outpt/office vis |
19 |
19 |
$2K |
| 90661 |
|
19 |
19 |
$714.98 |
| 90688 |
|
38 |
33 |
$560.76 |
| 83037 |
|
53 |
53 |
$527.90 |
| G0008 |
Administration of influenza virus vaccine |
87 |
84 |
$484.97 |
| 90686 |
|
28 |
24 |
$452.00 |
| 82962 |
|
103 |
88 |
$262.88 |
| G9921 |
No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified |
122 |
122 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
13 |
13 |
$0.00 |
| G9920 |
Screening performed and negative |
373 |
371 |
$0.00 |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
1,080 |
97 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
19 |
19 |
$0.00 |