| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
85,653 |
38,967 |
$8.39M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
12,676 |
1,083 |
$2.31M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
14,976 |
4,960 |
$1.19M |
| T1017 |
Targeted case management, each 15 minutes |
40,640 |
23,307 |
$982K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,872 |
15,686 |
$644K |
| H2011 |
Crisis intervention service, per 15 minutes |
2,076 |
1,132 |
$630K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
9,263 |
8,271 |
$624K |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,063 |
6,346 |
$527K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,384 |
379 |
$409K |
| 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) |
12,892 |
5,749 |
$386K |
| S5110 |
Home care training, family; per 15 minutes |
14,068 |
8,619 |
$311K |
| S0311 |
Comprehensive management and care coordination for advanced illness, per calendar month |
1,321 |
619 |
$147K |
| 90791 |
Psychiatric diagnostic evaluation |
1,128 |
1,093 |
$122K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,005 |
4,655 |
$52K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
803 |
613 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,584 |
1,512 |
$44K |
| 90837 |
Psychotherapy, 53 minutes with patient |
472 |
368 |
$42K |
| Q3014 |
Telehealth originating site facility fee |
2,173 |
2,068 |
$38K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
325 |
323 |
$31K |
| H0038 |
Self-help/peer services, per 15 minutes |
734 |
204 |
$28K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
174 |
129 |
$26K |
| H0032 |
Mental health service plan development by non-physician |
378 |
291 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
847 |
629 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,913 |
3,266 |
$23K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
272 |
177 |
$16K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
310 |
133 |
$10K |
| S0221 |
Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes |
34 |
24 |
$3K |
| 99215 |
Prolong outpt/office vis |
39 |
39 |
$2K |
| H0006 |
Alcohol and/or drug services; case management |
78 |
42 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
97 |
40 |
$2K |
| 99366 |
|
30 |
30 |
$600.00 |