| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
557,768 |
232,989 |
$30.82M |
| T1016 |
Case management, each 15 minutes |
1,049,976 |
364,102 |
$18.58M |
| H0031 |
Mental health assessment, by non-physician |
89,948 |
77,106 |
$9.50M |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
312,577 |
26,662 |
$7.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69,523 |
64,221 |
$3.53M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
7,248 |
642 |
$2.88M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
15,346 |
616 |
$2.63M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14,164 |
13,620 |
$1.58M |
| H2014 |
Skills training and development, per 15 minutes |
243,826 |
24,963 |
$1.32M |
| 99215 |
Prolong outpt/office vis |
14,412 |
13,342 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,901 |
12,289 |
$682K |
| H2010 |
Comprehensive medication services, per 15 minutes |
78,258 |
6,724 |
$614K |
| H2027 |
Psychoeducational service, per 15 minutes |
28,486 |
5,240 |
$362K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
33,884 |
7,474 |
$348K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
113,714 |
7,015 |
$282K |
| H0046 |
Mental health services, not otherwise specified |
82,493 |
3,686 |
$203K |
| T1002 |
Rn services, up to 15 minutes |
12,007 |
4,896 |
$195K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25,303 |
6,272 |
$110K |
| H0034 |
Medication training and support, per 15 minutes |
11,053 |
1,790 |
$90K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
2,439 |
2,289 |
$76K |
| H0038 |
Self-help/peer services, per 15 minutes |
11,608 |
3,739 |
$76K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
5,791 |
5,693 |
$70K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
29,317 |
6,246 |
$67K |
| S0215 |
Non-emergency transportation; mileage, per mile |
101,510 |
19,716 |
$65K |
| 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) |
133,194 |
8,798 |
$63K |
| S5110 |
Home care training, family; per 15 minutes |
1,949 |
864 |
$48K |
| H0033 |
Oral medication administration, direct observation |
2,662 |
283 |
$47K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
2,408 |
1,515 |
$37K |
| 99335 |
|
1,167 |
953 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,144 |
1,126 |
$33K |
| T1020 |
Personal care services, per diem, 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) |
38,995 |
2,017 |
$29K |
| S9485 |
Crisis intervention mental health services, per diem |
31 |
22 |
$28K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
99,881 |
19,592 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
215 |
204 |
$24K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
14,698 |
3,779 |
$23K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,820 |
1,156 |
$20K |
| 99443 |
|
1,242 |
1,164 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,955 |
1,884 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
655 |
342 |
$14K |
| 99442 |
|
476 |
467 |
$5K |
| 99348 |
|
150 |
144 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
63 |
$4K |
| 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) |
1,580 |
446 |
$4K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,586 |
1,210 |
$2K |
| 99347 |
|
147 |
140 |
$2K |
| 99336 |
|
37 |
28 |
$1K |
| 90889 |
|
467 |
404 |
$980.40 |
| 99349 |
|
12 |
12 |
$513.04 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
27 |
27 |
$228.33 |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
72 |
37 |
$160.11 |
| 99441 |
|
36 |
36 |
$94.77 |
| G2078 |
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
590 |
192 |
$55.44 |
| H0043 |
Supported housing, per diem |
460,270 |
27,443 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
14 |
14 |
$0.00 |
| S5151 |
Unskilled respite care, not hospice; per diem |
878 |
80 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
65 |
54 |
$0.00 |
| H2016 |
Comprehensive community support services, per diem |
13 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$0.00 |
| 0580F |
|
14 |
14 |
$0.00 |
| G9921 |
No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified |
91 |
91 |
$0.00 |