| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
1,541,715 |
528,745 |
$296.22M |
| H2010 |
Comprehensive medication services, per 15 minutes |
574,400 |
269,636 |
$94.49M |
| S9484 |
Crisis intervention mental health services, per hour |
26,930 |
24,854 |
$79.32M |
| T1017 |
Targeted case management, each 15 minutes |
406,112 |
192,608 |
$55.10M |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
226,046 |
11,739 |
$33.87M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
21,367 |
5,378 |
$33.38M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
1,169,770 |
87,621 |
$33.26M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
195,253 |
99,024 |
$22.87M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
111,163 |
31,979 |
$22.25M |
| 90837 |
Psychotherapy, 53 minutes with patient |
61,463 |
34,576 |
$22.18M |
| H2011 |
Crisis intervention service, per 15 minutes |
22,246 |
20,453 |
$14.67M |
| H0031 |
Mental health assessment, by non-physician |
71,050 |
38,579 |
$11.85M |
| 90834 |
Psychotherapy, 45 minutes with patient |
44,213 |
28,412 |
$11.71M |
| 99215 |
Prolong outpt/office vis |
9,381 |
7,686 |
$8.14M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
123,318 |
27,670 |
$7.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,812 |
12,870 |
$6.71M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47,836 |
6,074 |
$6.21M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
30,414 |
6,342 |
$5.57M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
17,428 |
2,892 |
$5.04M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
15,131 |
10,234 |
$4.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,022 |
7,200 |
$4.41M |
| H0006 |
Alcohol and/or drug services; case management |
70,074 |
27,810 |
$4.25M |
| H0034 |
Medication training and support, per 15 minutes |
13,880 |
8,901 |
$2.78M |
| Z9560 |
|
6,064 |
3,889 |
$2.67M |
| 90832 |
Psychotherapy, 30 minutes with patient |
14,957 |
11,359 |
$2.63M |
| 99233 |
Prolong inpt eval add15 m |
12,125 |
3,003 |
$2.41M |
| H0032 |
Mental health service plan development by non-physician |
13,080 |
10,091 |
$2.13M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,818 |
4,232 |
$1.46M |
| 99223 |
Prolong inpt eval add15 m |
4,296 |
3,710 |
$1.44M |
| 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 |
13,058 |
1,446 |
$974K |
| H0038 |
Self-help/peer services, per 15 minutes |
5,580 |
1,888 |
$934K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,151 |
1,954 |
$498K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,338 |
1,214 |
$428K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,971 |
2,569 |
$413K |
| T1001 |
Nursing assessment / evaluation |
1,605 |
1,304 |
$379K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,607 |
2,325 |
$357K |
| H2000 |
Comprehensive multidisciplinary evaluation |
1,039 |
621 |
$329K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
3,682 |
1,208 |
$273K |
| 99484 |
|
202 |
193 |
$269K |
| 99348 |
|
643 |
266 |
$250K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,902 |
539 |
$240K |
| 96127 |
|
1,677 |
1,329 |
$230K |
| 99443 |
|
408 |
360 |
$191K |
| H0033 |
Oral medication administration, direct observation |
1,903 |
1,725 |
$178K |
| H0049 |
Alcohol and/or drug screening |
821 |
717 |
$173K |
| 99222 |
Initial hospital care, per day, moderate complexity |
533 |
505 |
$156K |
| 99345 |
Prolong home eval add 15m |
154 |
150 |
$153K |
| 90839 |
|
418 |
395 |
$131K |
| 99205 |
Prolong outpt/office vis |
87 |
85 |
$127K |
| 90791 |
Psychiatric diagnostic evaluation |
1,180 |
702 |
$106K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
914 |
562 |
$95K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
6,096 |
2,013 |
$95K |
| 90885 |
|
489 |
347 |
$92K |
| 99350 |
Prolong home eval add 15m |
117 |
96 |
$92K |
| H0001 |
Alcohol and/or drug assessment |
342 |
280 |
$85K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
242 |
186 |
$72K |
| S5000 |
Prescription drug, generic |
2,634 |
129 |
$65K |
| Z9558 |
|
124 |
112 |
$61K |
| 99366 |
|
119 |
102 |
$40K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
205 |
122 |
$31K |
| Z9557 |
|
71 |
51 |
$26K |
| 99349 |
|
40 |
40 |
$20K |
| S5001 |
Prescription drug, brand name |
146 |
127 |
$19K |
| 98968 |
|
63 |
60 |
$9K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
42 |
40 |
$5K |
| 99442 |
|
14 |
14 |
$4K |
| 99441 |
|
12 |
12 |
$1K |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
32 |
32 |
$318.00 |
| 96136 |
|
18 |
15 |
$303.13 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
101 |
99 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
851 |
719 |
$0.00 |
| 90840 |
|
218 |
199 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
469 |
423 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
37 |
29 |
$0.00 |
| 90785 |
|
56 |
36 |
$0.00 |