| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
3,314 |
2,761 |
$6.96M |
| 90837 |
Psychotherapy, 53 minutes with patient |
93,037 |
52,617 |
$5.85M |
| 90834 |
Psychotherapy, 45 minutes with patient |
82,918 |
50,159 |
$4.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,065 |
33,575 |
$2.23M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
11,458 |
3,196 |
$1.75M |
| T1017 |
Targeted case management, each 15 minutes |
70,277 |
39,394 |
$1.65M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
21,712 |
13,482 |
$1.46M |
| 90832 |
Psychotherapy, 30 minutes with patient |
31,931 |
19,341 |
$1.28M |
| J0401 |
Injection, aripiprazole (abilify maintena), 1 mg |
665 |
558 |
$1.16M |
| 90791 |
Psychiatric diagnostic evaluation |
10,916 |
9,228 |
$1.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,402 |
24,648 |
$988K |
| H0038 |
Self-help/peer services, per 15 minutes |
31,184 |
13,172 |
$974K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
64,869 |
24,058 |
$926K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
9,092 |
599 |
$858K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
13,058 |
7,160 |
$649K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
28,726 |
21,385 |
$573K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
10,958 |
2,237 |
$544K |
| 97537 |
|
11,011 |
4,991 |
$350K |
| H2014 |
Skills training and development, per 15 minutes |
9,630 |
5,738 |
$343K |
| 99215 |
Prolong outpt/office vis |
2,328 |
1,859 |
$279K |
| 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) |
5,629 |
1,395 |
$252K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
3,746 |
1,923 |
$221K |
| H0031 |
Mental health assessment, by non-physician |
3,672 |
3,097 |
$216K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13,317 |
8,831 |
$164K |
| 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 |
4,448 |
1,033 |
$162K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,401 |
1,056 |
$149K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
2,741 |
1,737 |
$103K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,598 |
2,572 |
$88K |
| H0001 |
Alcohol and/or drug assessment |
630 |
507 |
$84K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
4,820 |
1,543 |
$77K |
| H2011 |
Crisis intervention service, per 15 minutes |
2,028 |
1,185 |
$75K |
| H0034 |
Medication training and support, per 15 minutes |
1,112 |
629 |
$75K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
3,798 |
3,004 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,717 |
2,383 |
$51K |
| 90839 |
|
734 |
567 |
$46K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
42 |
38 |
$41K |
| H0006 |
Alcohol and/or drug services; case management |
683 |
434 |
$34K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
1,398 |
656 |
$23K |
| H2023 |
Supported employment, per 15 minutes |
3,186 |
1,266 |
$23K |
| 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 |
1,245 |
120 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
32 |
$10K |
| 90882 |
|
155 |
99 |
$4K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
117 |
76 |
$4K |
| 97535 |
Self-care/home management training, each 15 minutes |
170 |
88 |
$2K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
177 |
126 |
$2K |
| S9454 |
Stress management classes, non-physician provider, per session |
796 |
300 |
$874.92 |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
201 |
97 |
$0.00 |