| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
1,601,963 |
471,988 |
$325.06M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
558,369 |
187,743 |
$122.80M |
| H2010 |
Comprehensive medication services, per 15 minutes |
350,702 |
231,020 |
$90.74M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
137,391 |
7,470 |
$58.19M |
| T1017 |
Targeted case management, each 15 minutes |
328,467 |
121,030 |
$55.94M |
| 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 |
288,779 |
16,167 |
$51.81M |
| S9484 |
Crisis intervention mental health services, per hour |
45,990 |
38,531 |
$45.97M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
2,021,319 |
78,239 |
$30.49M |
| 90837 |
Psychotherapy, 53 minutes with patient |
71,895 |
38,236 |
$29.66M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
82,923 |
10,783 |
$27.07M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
254,776 |
98,144 |
$25.28M |
| H0032 |
Mental health service plan development by non-physician |
133,162 |
105,310 |
$24.97M |
| H2011 |
Crisis intervention service, per 15 minutes |
48,791 |
18,442 |
$18.68M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,590 |
19,553 |
$17.51M |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
41,419 |
27,833 |
$16.14M |
| 90834 |
Psychotherapy, 45 minutes with patient |
47,133 |
30,109 |
$14.54M |
| 99215 |
Prolong outpt/office vis |
11,972 |
11,487 |
$13.90M |
| T1001 |
Nursing assessment / evaluation |
9,201 |
3,136 |
$11.28M |
| H0034 |
Medication training and support, per 15 minutes |
39,335 |
30,039 |
$8.99M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
177,795 |
31,688 |
$8.48M |
| H0031 |
Mental health assessment, by non-physician |
11,828 |
10,417 |
$6.23M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,417 |
1,601 |
$5.64M |
| 90832 |
Psychotherapy, 30 minutes with patient |
25,380 |
16,800 |
$5.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,156 |
6,824 |
$4.37M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
17,051 |
3,265 |
$4.35M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
6,186 |
5,202 |
$3.75M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,167 |
6,276 |
$3.07M |
| 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 |
45,742 |
5,295 |
$2.96M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
8,280 |
4,736 |
$2.80M |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,403 |
1,332 |
$2.21M |
| 99233 |
Prolong inpt eval add15 m |
1,487 |
610 |
$2.21M |
| T2024 |
Service assessment/plan of care development, waiver |
1,687 |
1,573 |
$2.07M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
3,942 |
2,191 |
$1.83M |
| H0033 |
Oral medication administration, direct observation |
8,335 |
6,678 |
$1.55M |
| 90791 |
Psychiatric diagnostic evaluation |
11,473 |
10,545 |
$1.41M |
| S5001 |
Prescription drug, brand name |
37,813 |
2,768 |
$1.34M |
| S5000 |
Prescription drug, generic |
31,934 |
1,619 |
$796K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
581 |
538 |
$795K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,121 |
3,731 |
$673K |
| H0001 |
Alcohol and/or drug assessment |
826 |
763 |
$553K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
927 |
883 |
$371K |
| 99223 |
Prolong inpt eval add15 m |
138 |
131 |
$303K |
| H0006 |
Alcohol and/or drug services; case management |
6,074 |
2,941 |
$301K |
| H2000 |
Comprehensive multidisciplinary evaluation |
968 |
524 |
$289K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
453 |
433 |
$255K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
6,487 |
3,087 |
$164K |
| H2014 |
Skills training and development, per 15 minutes |
1,929 |
234 |
$128K |
| 90839 |
|
366 |
357 |
$126K |
| H2012 |
Behavioral health day treatment, per hour |
165 |
12 |
$70K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
1,831 |
461 |
$62K |
| H2035 |
Alcohol and/or other drug treatment program, per hour |
139 |
65 |
$58K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,459 |
728 |
$48K |
| H0038 |
Self-help/peer services, per 15 minutes |
67 |
38 |
$26K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
149 |
132 |
$26K |
| 90887 |
|
319 |
140 |
$25K |
| 96130 |
|
26 |
26 |
$17K |
| H2027 |
Psychoeducational service, per 15 minutes |
321 |
77 |
$0.00 |
| 99443 |
|
14 |
13 |
$0.00 |