| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99490 |
Ccm add 20min |
83,649 |
82,352 |
$11.18M |
| 90834 |
Psychotherapy, 45 minutes with patient |
75,967 |
45,625 |
$6.95M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,279 |
36,053 |
$2.72M |
| H0040 |
Assertive community treatment program, per diem |
37,307 |
1,883 |
$2.01M |
| 90791 |
Psychiatric diagnostic evaluation |
9,067 |
8,682 |
$1.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,211 |
18,555 |
$1.17M |
| H0037 |
Community psychiatric supportive treatment program, per diem |
4,485 |
4,384 |
$956K |
| H2016 |
Comprehensive community support services, per diem |
1,796 |
64 |
$517K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,375 |
6,768 |
$411K |
| 99215 |
Prolong outpt/office vis |
3,057 |
2,841 |
$333K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,623 |
1,277 |
$168K |
| H2033 |
Multisystemic therapy for juveniles, per 15 minutes |
325 |
49 |
$79K |
| S9485 |
Crisis intervention mental health services, per diem |
551 |
142 |
$63K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
597 |
224 |
$37K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
176 |
170 |
$36K |
| H0038 |
Self-help/peer services, per 15 minutes |
14,459 |
13,673 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,341 |
6,841 |
$26K |
| 90785 |
|
3,951 |
1,893 |
$15K |
| 99443 |
|
797 |
668 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
145 |
$7K |
| 96101 |
|
22 |
13 |
$4K |
| 99442 |
|
552 |
470 |
$4K |
| 99417 |
Prolong home eval add 15m |
72 |
59 |
$1K |
| 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) |
33 |
32 |
$1K |
| 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) |
477 |
454 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$216.01 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
32,256 |
31,036 |
$0.00 |
| 99439 |
|
8,455 |
8,347 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
4,282 |
4,223 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
629 |
623 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
13 |
13 |
$0.00 |
| G2065 |
Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities |
16 |
16 |
$0.00 |