| 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 |
7,937 |
2,672 |
$9.90M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
5,252 |
2,238 |
$6.20M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
563 |
470 |
$1.68M |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,698 |
8,878 |
$167K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
8,071 |
3,050 |
$119K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
4,853 |
2,787 |
$90K |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
284 |
110 |
$71K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,986 |
2,592 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,657 |
5,363 |
$42K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
8,728 |
4,139 |
$40K |
| H0001 |
Alcohol and/or drug assessment |
284 |
247 |
$22K |
| 90791 |
Psychiatric diagnostic evaluation |
478 |
447 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,720 |
2,149 |
$17K |
| 99407 |
|
676 |
340 |
$11K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
296 |
212 |
$9K |
| T1016 |
Case management, each 15 minutes |
1,804 |
967 |
$8K |
| H2011 |
Crisis intervention service, per 15 minutes |
284 |
170 |
$8K |
| H2014 |
Skills training and development, per 15 minutes |
2,011 |
775 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
292 |
170 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
88 |
83 |
$3K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,092 |
479 |
$2K |
| H0006 |
Alcohol and/or drug services; case management |
140 |
115 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,989 |
1,720 |
$1K |
| H0032 |
Mental health service plan development by non-physician |
47 |
42 |
$1K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
286 |
157 |
$1K |
| H2023 |
Supported employment, per 15 minutes |
1,455 |
596 |
$1K |
| S9981 |
Medical records copying fee, administrative |
54 |
45 |
$582.14 |
| H2021 |
Community-based wrap-around services, per 15 minutes |
46 |
12 |
$532.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
596 |
260 |
$455.81 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
28 |
$410.14 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
17 |
14 |
$210.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
32 |
$179.49 |
| 98966 |
|
24 |
15 |
$156.32 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
12 |
12 |
$140.20 |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
24 |
12 |
$58.90 |
| 99484 |
|
162 |
49 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
17 |
12 |
$0.00 |
| 98960 |
|
19 |
12 |
$0.00 |