| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
1,072,954 |
53,019 |
$211.03M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
609,480 |
266,425 |
$90.88M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
1,362,125 |
166,407 |
$67.93M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
707,156 |
106,389 |
$59.90M |
| H2015 |
Comprehensive community support services, per 15 minutes |
456,555 |
137,452 |
$45.66M |
| H0006 |
Alcohol and/or drug services; case management |
203,034 |
93,420 |
$24.28M |
| 99233 |
Prolong inpt eval add15 m |
14,737 |
3,258 |
$16.92M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17,346 |
2,957 |
$16.12M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
51,061 |
7,760 |
$14.46M |
| H2010 |
Comprehensive medication services, per 15 minutes |
129,305 |
102,405 |
$12.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,617 |
15,902 |
$9.36M |
| T1017 |
Targeted case management, each 15 minutes |
44,523 |
22,025 |
$7.83M |
| 90837 |
Psychotherapy, 53 minutes with patient |
14,822 |
6,050 |
$6.02M |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
10,538 |
4,376 |
$5.83M |
| S5000 |
Prescription drug, generic |
461,898 |
10,366 |
$5.68M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,470 |
8,812 |
$4.93M |
| 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) |
8,190 |
6,123 |
$4.73M |
| 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 |
57,833 |
9,563 |
$4.35M |
| 0160 |
|
339 |
294 |
$4.30M |
| 99223 |
Prolong inpt eval add15 m |
1,898 |
1,842 |
$3.36M |
| S5001 |
Prescription drug, brand name |
91,069 |
6,114 |
$3.24M |
| 99215 |
Prolong outpt/office vis |
2,288 |
1,568 |
$2.26M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,833 |
1,792 |
$2.25M |
| H2011 |
Crisis intervention service, per 15 minutes |
8,778 |
5,960 |
$2.19M |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,413 |
2,545 |
$1.75M |
| H2014 |
Skills training and development, per 15 minutes |
16,465 |
3,478 |
$1.70M |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
5,075 |
4,017 |
$1.56M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,784 |
4,207 |
$1.32M |
| 99255 |
|
607 |
564 |
$1.21M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
8,207 |
2,599 |
$1.11M |
| 99254 |
|
553 |
544 |
$843K |
| H0038 |
Self-help/peer services, per 15 minutes |
4,233 |
2,679 |
$790K |
| 99222 |
Initial hospital care, per day, moderate complexity |
459 |
435 |
$667K |
| H0001 |
Alcohol and/or drug assessment |
4,672 |
4,330 |
$653K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
843 |
261 |
$581K |
| 99253 |
|
510 |
492 |
$578K |
| 99347 |
|
910 |
743 |
$479K |
| H0033 |
Oral medication administration, direct observation |
26,342 |
2,048 |
$472K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
6,445 |
2,803 |
$463K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
1,466 |
300 |
$297K |
| 90832 |
Psychotherapy, 30 minutes with patient |
980 |
612 |
$243K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,681 |
1,449 |
$241K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
605 |
591 |
$212K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
523 |
249 |
$202K |
| 99368 |
|
539 |
430 |
$188K |
| 90791 |
Psychiatric diagnostic evaluation |
1,360 |
1,353 |
$154K |
| 90868 |
|
861 |
93 |
$143K |
| 99205 |
Prolong outpt/office vis |
95 |
95 |
$143K |
| H0034 |
Medication training and support, per 15 minutes |
603 |
190 |
$110K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
960 |
204 |
$75K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
605 |
555 |
$70K |
| H0032 |
Mental health service plan development by non-physician |
1,313 |
1,301 |
$62K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
383 |
370 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
1,257 |
1,251 |
$21K |
| 99366 |
|
59 |
56 |
$16K |
| 99348 |
|
16 |
15 |
$8K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
350 |
162 |
$6K |
| 90867 |
|
13 |
13 |
$4K |
| 96136 |
|
13 |
13 |
$4K |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
71 |
71 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
70 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 86580 |
|
216 |
210 |
$656.39 |
| 0001A |
|
171 |
171 |
$588.80 |
| 0002A |
|
126 |
126 |
$363.55 |
| 71010 |
|
17 |
16 |
$264.69 |
| 0011A |
|
261 |
261 |
$252.72 |
| 0012A |
|
162 |
162 |
$172.87 |
| 0053A |
|
13 |
13 |
$88.18 |
| 0013A |
|
13 |
13 |
$80.00 |
| 99000 |
|
21 |
20 |
$61.36 |
| H0049 |
Alcohol and/or drug screening |
73 |
47 |
$0.00 |