| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
144,451 |
113,280 |
$38.96M |
| T1017 |
Targeted case management, each 15 minutes |
62,206 |
59,582 |
$20.50M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
64,902 |
3,613 |
$15.22M |
| H2016 |
Comprehensive community support services, per diem |
84,665 |
6,655 |
$8.20M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
89,006 |
6,034 |
$4.55M |
| H0040 |
Assertive community treatment program, per diem |
29,232 |
2,353 |
$4.15M |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
46,780 |
3,460 |
$4.04M |
| H0006 |
Alcohol and/or drug services; case management |
20,698 |
15,966 |
$3.73M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
19,644 |
1,404 |
$3.63M |
| H2018 |
Psychosocial rehabilitation services, per diem |
3,698 |
638 |
$2.56M |
| T2022 |
Case management, per month |
20,413 |
17,766 |
$2.49M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
6,618 |
2,392 |
$2.37M |
| H0046 |
Mental health services, not otherwise specified |
23,411 |
3,971 |
$2.36M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,677 |
25,726 |
$2.03M |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
29,560 |
1,107 |
$2.01M |
| H2011 |
Crisis intervention service, per 15 minutes |
8,053 |
4,250 |
$1.96M |
| 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 |
12,143 |
1,609 |
$1.53M |
| 90791 |
Psychiatric diagnostic evaluation |
22,534 |
13,138 |
$1.35M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
4,294 |
830 |
$1.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,891 |
23,882 |
$854K |
| T2023 |
Targeted case management; per month |
2,892 |
2,806 |
$833K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
7,710 |
3,829 |
$694K |
| 90834 |
Psychotherapy, 45 minutes with patient |
20,693 |
5,231 |
$561K |
| S9482 |
Family stabilization services, per 15 minutes |
3,653 |
1,156 |
$404K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,383 |
2,344 |
$363K |
| S0109 |
Methadone, oral, 5 mg |
5,897 |
2,815 |
$295K |
| 99490 |
Ccm add 20min |
7,386 |
5,144 |
$271K |
| 99409 |
|
14,721 |
8,958 |
$244K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
5,804 |
2,791 |
$238K |
| 99215 |
Prolong outpt/office vis |
7,010 |
2,882 |
$238K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
1,029 |
428 |
$170K |
| 99205 |
Prolong outpt/office vis |
1,862 |
1,443 |
$161K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,644 |
1,956 |
$155K |
| 80305 |
|
16,972 |
10,664 |
$153K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
9,491 |
2,863 |
$149K |
| H0032 |
Mental health service plan development by non-physician |
2,780 |
1,930 |
$149K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
11,780 |
2,605 |
$118K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24,884 |
9,907 |
$78K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,087 |
621 |
$65K |
| T2003 |
Non-emergency transportation; encounter/trip |
11,052 |
437 |
$47K |
| 99442 |
|
3,721 |
1,856 |
$46K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
251 |
167 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,185 |
1,825 |
$26K |
| 99443 |
|
799 |
388 |
$22K |
| 96127 |
|
6,913 |
4,890 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
620 |
550 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,525 |
1,040 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
375 |
277 |
$20K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,127 |
508 |
$19K |
| 99423 |
|
755 |
445 |
$9K |
| 90889 |
|
37 |
37 |
$7K |
| 99422 |
|
1,426 |
663 |
$7K |
| 99407 |
|
758 |
590 |
$4K |
| G0153 |
Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes |
53 |
42 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
68 |
51 |
$4K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
33 |
26 |
$3K |
| 96130 |
|
103 |
46 |
$3K |
| 81025 |
|
327 |
252 |
$2K |
| 99454 |
|
148 |
102 |
$2K |
| 99408 |
|
127 |
84 |
$2K |
| 99491 |
Ccm add 20min |
269 |
195 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
305 |
47 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
54 |
$2K |
| 0011A |
|
47 |
46 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
19 |
12 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
274 |
189 |
$1K |
| 90716 |
|
145 |
54 |
$803.00 |
| 99406 |
|
327 |
196 |
$730.66 |
| 86580 |
|
76 |
66 |
$503.96 |
| 99453 |
|
248 |
114 |
$503.81 |
| 0012A |
|
13 |
13 |
$480.00 |
| 96131 |
|
27 |
12 |
$364.81 |
| 90694 |
|
35 |
28 |
$205.98 |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
190 |
22 |
$168.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
44 |
$161.44 |
| T1012 |
Alcohol and/or substance abuse services, skills development |
71 |
15 |
$78.00 |
| 82948 |
|
39 |
24 |
$52.18 |
| 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) |
44 |
12 |
$0.00 |