| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Therapeutic behavioral services, per 15 minutes |
213,951 |
112,299 |
$18.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110,315 |
96,644 |
$10.71M |
| 90837 |
Psychotherapy, 53 minutes with patient |
82,620 |
48,150 |
$7.62M |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
22,144 |
20,332 |
$7.09M |
| H0040 |
Assertive community treatment program, per diem |
19,255 |
15,702 |
$5.66M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
115,575 |
67,088 |
$4.09M |
| H2020 |
Therapeutic behavioral services, per diem |
6,247 |
1,321 |
$964K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
16,094 |
14,590 |
$871K |
| 99215 |
Prolong outpt/office vis |
5,883 |
5,190 |
$845K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
16,707 |
10,726 |
$782K |
| 90785 |
|
68,281 |
40,105 |
$749K |
| 90832 |
Psychotherapy, 30 minutes with patient |
13,516 |
8,024 |
$671K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,790 |
8,711 |
$627K |
| 90791 |
Psychiatric diagnostic evaluation |
6,169 |
5,694 |
$590K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,698 |
5,791 |
$481K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,009 |
936 |
$160K |
| H2000 |
Comprehensive multidisciplinary evaluation |
940 |
882 |
$146K |
| 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) |
3,711 |
1,056 |
$136K |
| 90839 |
|
1,152 |
964 |
$130K |
| 99205 |
Prolong outpt/office vis |
420 |
392 |
$86K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
610 |
547 |
$65K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,608 |
1,219 |
$52K |
| H2012 |
Behavioral health day treatment, per hour |
1,101 |
699 |
$42K |
| 99354 |
|
591 |
440 |
$40K |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
224 |
52 |
$39K |
| 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 |
481 |
122 |
$23K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
4,829 |
1,692 |
$20K |
| 90836 |
|
246 |
224 |
$18K |
| S9485 |
Crisis intervention mental health services, per diem |
26 |
25 |
$14K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
190 |
82 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
147 |
$7K |
| H0006 |
Alcohol and/or drug services; case management |
225 |
117 |
$5K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
120 |
58 |
$5K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
962 |
352 |
$5K |
| 96137 |
|
22 |
22 |
$4K |
| 99442 |
|
498 |
459 |
$4K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
1,098 |
695 |
$4K |
| 96131 |
|
19 |
19 |
$3K |
| 99443 |
|
318 |
298 |
$2K |
| 81025 |
|
340 |
304 |
$2K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
109 |
64 |
$2K |
| 96130 |
|
24 |
23 |
$1K |
| 96136 |
|
22 |
22 |
$683.88 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
201 |
159 |
$2.09 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
918 |
850 |
$0.08 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,899 |
1,761 |
$0.05 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
746 |
688 |
$0.04 |
| 3077F |
|
580 |
520 |
$0.00 |
| 3078F |
|
2,383 |
2,145 |
$0.00 |
| 1110F |
|
513 |
429 |
$0.00 |
| 3075F |
|
1,269 |
1,159 |
$0.00 |
| 3074F |
|
2,112 |
1,918 |
$0.00 |
| 3008F |
|
3,704 |
3,426 |
$0.00 |
| 1111F |
|
70 |
57 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
130 |
121 |
$0.00 |
| 3080F |
|
853 |
770 |
$0.00 |
| 3079F |
|
725 |
671 |
$0.00 |
| 1034F |
|
73 |
66 |
$0.00 |