| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
9,296 |
1,377 |
$5.48M |
| S9485 |
Crisis intervention mental health services, per diem |
4,495 |
3,984 |
$1.31M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
5,543 |
4,319 |
$924K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,402 |
659 |
$699K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
900 |
702 |
$283K |
| G0177 |
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
981 |
187 |
$174K |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
229 |
51 |
$118K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,012 |
820 |
$112K |
| G0410 |
Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes |
687 |
131 |
$107K |
| 90832 |
Psychotherapy, 30 minutes with patient |
503 |
130 |
$90K |
| G0129 |
Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more) |
555 |
123 |
$76K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,423 |
1,098 |
$49K |
| 90870 |
|
191 |
78 |
$48K |
| 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 |
197 |
46 |
$48K |
| 90791 |
Psychiatric diagnostic evaluation |
116 |
110 |
$32K |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$15K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
139 |
70 |
$12K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
69 |
64 |
$6K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
65 |
61 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
43 |
39 |
$3K |
| 87631 |
|
21 |
17 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
24 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
25 |
25 |
$588.68 |
| J7050 |
Infusion, normal saline solution, 250 cc |
27 |
12 |
$19.75 |
| H0006 |
Alcohol and/or drug services; case management |
1,185 |
589 |
$0.01 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
763 |
589 |
$0.00 |