| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
173,797 |
13,837 |
$59.87M |
| H2015 |
Comprehensive community support services, per 15 minutes |
474,707 |
177,597 |
$45.02M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
446,401 |
198,449 |
$30.78M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
615,697 |
96,261 |
$24.27M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
513,526 |
102,551 |
$18.81M |
| 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 |
90,079 |
16,557 |
$18.06M |
| H2012 |
Behavioral health day treatment, per hour |
299,171 |
26,579 |
$14.16M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
24,317 |
6,473 |
$11.18M |
| H0001 |
Alcohol and/or drug assessment |
33,238 |
31,262 |
$9.94M |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
377,002 |
101,400 |
$7.71M |
| T1002 |
Rn services, up to 15 minutes |
167,643 |
82,926 |
$7.62M |
| T2048 |
Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem |
75,331 |
4,387 |
$5.32M |
| H0038 |
Self-help/peer services, per 15 minutes |
71,210 |
40,227 |
$4.77M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,937 |
34,542 |
$3.56M |
| T1003 |
Lpn/lvn services, up to 15 minutes |
54,395 |
34,037 |
$1.93M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
14,310 |
13,627 |
$1.72M |
| 90837 |
Psychotherapy, 53 minutes with patient |
10,444 |
6,224 |
$1.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,622 |
19,148 |
$1.40M |
| 99215 |
Prolong outpt/office vis |
4,764 |
4,414 |
$700K |
| 99205 |
Prolong outpt/office vis |
3,100 |
3,068 |
$643K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,444 |
3,386 |
$562K |
| 90791 |
Psychiatric diagnostic evaluation |
3,571 |
2,754 |
$354K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
2,197 |
1,719 |
$332K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,711 |
4,360 |
$308K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,306 |
2,522 |
$242K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,561 |
1,315 |
$177K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,448 |
1,396 |
$163K |
| T1006 |
Alcohol and/or substance abuse services, family/couple counseling |
2,196 |
1,301 |
$143K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
8,765 |
3,295 |
$143K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
382 |
146 |
$112K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
267 |
246 |
$40K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
160 |
158 |
$17K |