| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
74,254 |
46,433 |
$3.50M |
| 90834 |
Psychotherapy, 45 minutes with patient |
35,055 |
23,873 |
$981K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,573 |
17,319 |
$830K |
| H0038 |
Self-help/peer services, per 15 minutes |
37,206 |
8,866 |
$628K |
| H2014 |
Skills training and development, per 15 minutes |
20,497 |
6,343 |
$611K |
| 90791 |
Psychiatric diagnostic evaluation |
9,523 |
8,252 |
$557K |
| T1017 |
Targeted case management, each 15 minutes |
26,228 |
14,704 |
$497K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
10,694 |
4,334 |
$452K |
| 90832 |
Psychotherapy, 30 minutes with patient |
17,820 |
13,383 |
$407K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
23,711 |
8,323 |
$345K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
5,693 |
1,280 |
$182K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
6,457 |
647 |
$158K |
| H2011 |
Crisis intervention service, per 15 minutes |
1,474 |
1,220 |
$155K |
| 99215 |
Prolong outpt/office vis |
3,020 |
2,178 |
$141K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
4,853 |
1,162 |
$127K |
| H2012 |
Behavioral health day treatment, per hour |
789 |
113 |
$112K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,885 |
1,554 |
$82K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
2,791 |
2,416 |
$79K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
3,519 |
1,006 |
$73K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
2,182 |
1,152 |
$58K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
4,991 |
740 |
$54K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,700 |
1,830 |
$51K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,383 |
1,056 |
$41K |
| H0032 |
Mental health service plan development by non-physician |
1,531 |
1,401 |
$32K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
7,353 |
1,666 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,281 |
929 |
$24K |
| H2023 |
Supported employment, per 15 minutes |
3,785 |
1,725 |
$21K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
1,372 |
913 |
$21K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
2,457 |
1,062 |
$21K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
643 |
606 |
$14K |
| H0034 |
Medication training and support, per 15 minutes |
2,077 |
1,583 |
$12K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
943 |
320 |
$12K |
| H0046 |
Mental health services, not otherwise specified |
166 |
29 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,771 |
1,233 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,672 |
1,241 |
$3K |
| H2027 |
Psychoeducational service, per 15 minutes |
897 |
671 |
$2K |
| 97537 |
|
434 |
232 |
$2K |
| S5151 |
Unskilled respite care, not hospice; per diem |
401 |
36 |
$2K |
| 99350 |
Prolong home eval add 15m |
33 |
25 |
$1K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
369 |
203 |
$977.78 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
118 |
83 |
$720.04 |
| 90785 |
|
165 |
145 |
$643.69 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
22 |
16 |
$252.16 |
| H2000 |
Comprehensive multidisciplinary evaluation |
441 |
339 |
$221.12 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
54 |
50 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$0.00 |