| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
18,768 |
16,146 |
$28.98M |
| S9485 |
Crisis intervention mental health services, per diem |
44,399 |
27,531 |
$22.38M |
| 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 |
7,978 |
3,940 |
$16.36M |
| 90834 |
Psychotherapy, 45 minutes with patient |
184,445 |
94,199 |
$14.17M |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
133,278 |
5,369 |
$7.10M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
491,845 |
18,660 |
$6.42M |
| H2011 |
Crisis intervention service, per 15 minutes |
33,863 |
12,333 |
$5.22M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
1,719 |
1,530 |
$4.54M |
| 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) |
27,069 |
7,869 |
$3.82M |
| H2012 |
Behavioral health day treatment, per hour |
48,294 |
3,836 |
$3.27M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
10,344 |
6,666 |
$2.29M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
22,075 |
2,660 |
$2.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,935 |
31,637 |
$1.90M |
| T1027 |
Family training and counseling for child development, per 15 minutes |
13,549 |
2,890 |
$1.63M |
| H2015 |
Comprehensive community support services, per 15 minutes |
18,329 |
3,831 |
$1.59M |
| 90832 |
Psychotherapy, 30 minutes with patient |
21,079 |
15,730 |
$868K |
| 90791 |
Psychiatric diagnostic evaluation |
6,549 |
6,383 |
$791K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,628 |
15,954 |
$705K |
| T1017 |
Targeted case management, each 15 minutes |
7,501 |
895 |
$692K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
9,924 |
5,778 |
$554K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,619 |
3,012 |
$497K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
13,032 |
6,030 |
$377K |
| H0038 |
Self-help/peer services, per 15 minutes |
4,622 |
783 |
$322K |
| 90887 |
|
8,007 |
5,631 |
$296K |
| 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 |
2,807 |
392 |
$234K |
| 90882 |
|
5,732 |
4,209 |
$203K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
6,243 |
2,514 |
$175K |
| 99215 |
Prolong outpt/office vis |
1,085 |
976 |
$120K |
| G2074 |
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
953 |
616 |
$109K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,446 |
1,432 |
$95K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,222 |
899 |
$95K |
| H2016 |
Comprehensive community support services, per diem |
436 |
383 |
$87K |
| 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 |
1,635 |
982 |
$54K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,120 |
2,028 |
$53K |
| 99404 |
|
131 |
131 |
$22K |
| T2022 |
Case management, per month |
96 |
96 |
$17K |
| H0046 |
Mental health services, not otherwise specified |
481 |
336 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
446 |
420 |
$12K |
| 98968 |
|
1,496 |
972 |
$9K |
| 98967 |
|
1,286 |
889 |
$7K |
| G2076 |
Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
38 |
38 |
$6K |
| H0031 |
Mental health assessment, by non-physician |
138 |
138 |
$2K |
| 99442 |
|
596 |
574 |
$1K |
| 98966 |
|
16 |
14 |
$70.06 |
| 99441 |
|
39 |
38 |
$64.62 |
| 99443 |
|
16 |
14 |
$30.39 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
2,685 |
1,738 |
$0.00 |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
21,667 |
14,405 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,294 |
1,136 |
$0.00 |
| T2024 |
Service assessment/plan of care development, waiver |
5,151 |
3,401 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
3,984 |
2,643 |
$0.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
81,315 |
27,247 |
$0.00 |
| G9006 |
Coordinated care fee, home monitoring |
3,047 |
2,187 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
1,265 |
1,159 |
$0.00 |