| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99490 |
Ccm add 20min |
50,412 |
48,407 |
$7.46M |
| H0037 |
Community psychiatric supportive treatment program, per diem |
11,302 |
10,386 |
$3.38M |
| 90834 |
Psychotherapy, 45 minutes with patient |
33,941 |
24,650 |
$3.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,173 |
30,313 |
$2.38M |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,496 |
13,598 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,948 |
15,396 |
$938K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,120 |
3,017 |
$635K |
| 90791 |
Psychiatric diagnostic evaluation |
3,356 |
3,246 |
$450K |
| H0038 |
Self-help/peer services, per 15 minutes |
30,407 |
21,043 |
$342K |
| 99215 |
Prolong outpt/office vis |
1,884 |
1,721 |
$179K |
| Q3014 |
Telehealth originating site facility fee |
7,823 |
7,473 |
$160K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,500 |
1,133 |
$159K |
| T1016 |
Case management, each 15 minutes |
4,588 |
4,320 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,972 |
1,879 |
$80K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14,889 |
12,165 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
150 |
$17K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
2,642 |
1,426 |
$9K |
| 99443 |
|
550 |
527 |
$7K |
| 96127 |
|
96 |
84 |
$4K |
| 99442 |
|
585 |
571 |
$3K |
| H2016 |
Comprehensive community support services, per diem |
20 |
16 |
$2K |
| 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) |
26 |
25 |
$892.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
38 |
$650.60 |
| 99441 |
|
13 |
13 |
$97.40 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
24,742 |
17,242 |
$0.00 |
| 99439 |
|
10,793 |
8,027 |
$0.00 |
| 99426 |
|
1,338 |
945 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
448 |
346 |
$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 |
687 |
483 |
$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)). |
1,646 |
1,291 |
$0.00 |