| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
114,532 |
65,750 |
$15.58M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
154,468 |
80,509 |
$12.62M |
| H2015 |
Comprehensive community support services, per 15 minutes |
88,931 |
47,093 |
$5.16M |
| 90791 |
Psychiatric diagnostic evaluation |
22,908 |
22,636 |
$4.52M |
| H0038 |
Self-help/peer services, per 15 minutes |
46,051 |
20,469 |
$4.28M |
| 90834 |
Psychotherapy, 45 minutes with patient |
21,129 |
16,623 |
$2.30M |
| 90832 |
Psychotherapy, 30 minutes with patient |
24,291 |
18,218 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,977 |
16,021 |
$1.71M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
20,423 |
13,527 |
$1.61M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
30,437 |
1,009 |
$1.13M |
| H0001 |
Alcohol and/or drug assessment |
1,169 |
1,110 |
$839K |
| H0046 |
Mental health services, not otherwise specified |
44,283 |
43,445 |
$827K |
| T2025 |
Waiver services; not otherwise specified (nos) |
4,004 |
919 |
$494K |
| 96165 |
|
7,293 |
2,036 |
$438K |
| 99215 |
Prolong outpt/office vis |
2,687 |
2,567 |
$406K |
| 96153 |
|
5,844 |
1,706 |
$289K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,485 |
11,243 |
$264K |
| H0043 |
Supported housing, per diem |
2,549 |
834 |
$239K |
| T1016 |
Case management, each 15 minutes |
3,950 |
1,841 |
$239K |
| T1001 |
Nursing assessment / evaluation |
3,727 |
3,044 |
$229K |
| 99233 |
Prolong inpt eval add15 m |
4,421 |
754 |
$203K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,000 |
3,189 |
$178K |
| 96164 |
|
7,285 |
2,036 |
$153K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
5,355 |
5,331 |
$110K |
| 99205 |
Prolong outpt/office vis |
612 |
595 |
$99K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
7,620 |
2,807 |
$72K |
| 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) |
765 |
736 |
$70K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
1,224 |
986 |
$38K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,296 |
288 |
$35K |
| 99307 |
|
659 |
125 |
$24K |
| 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 |
13,936 |
567 |
$19K |
| 99442 |
|
364 |
303 |
$12K |
| H0034 |
Medication training and support, per 15 minutes |
1,819 |
486 |
$11K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
555 |
85 |
$8K |
| 99443 |
|
166 |
137 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
602 |
591 |
$5K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
233 |
198 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,179 |
1,177 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
34 |
29 |
$2K |
| 99441 |
|
48 |
46 |
$971.37 |
| 96127 |
|
213 |
210 |
$842.73 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$551.37 |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
544 |
350 |
$230.00 |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
8,561 |
347 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
159 |
102 |
$0.00 |
| 99304 |
|
13 |
12 |
$0.00 |
| 99072 |
|
2,730 |
2,112 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
6,813 |
6,790 |
$0.00 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
32 |
12 |
$0.00 |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
978 |
646 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
771 |
456 |
$0.00 |
| T2038 |
Community transition, waiver; per service |
27 |
12 |
$0.00 |