| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97535 |
Self-care/home management training, each 15 minutes |
260,668 |
14,215 |
$29.28M |
| 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) |
72,820 |
3,587 |
$11.80M |
| T2016 |
Habilitation, residential, waiver; per diem |
66,134 |
2,486 |
$11.14M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
27,184 |
1,871 |
$4.72M |
| T2022 |
Case management, per month |
16,349 |
15,593 |
$4.35M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
58,018 |
4,319 |
$4.03M |
| S5108 |
Home care training to home care client, per 15 minutes |
36,095 |
1,864 |
$3.96M |
| T2023 |
Targeted case management; per month |
11,916 |
10,904 |
$3.51M |
| 90837 |
Psychotherapy, 53 minutes with patient |
23,598 |
15,793 |
$2.05M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
9,998 |
507 |
$1.61M |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
17,698 |
15,338 |
$1.59M |
| T1005 |
Respite care services, up to 15 minutes |
24,245 |
4,781 |
$1.51M |
| 90832 |
Psychotherapy, 30 minutes with patient |
33,107 |
20,386 |
$1.44M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
13,676 |
11,862 |
$1.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,295 |
28,366 |
$1.03M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,636 |
305 |
$967K |
| 90791 |
Psychiatric diagnostic evaluation |
7,062 |
6,423 |
$588K |
| H2020 |
Therapeutic behavioral services, per diem |
3,886 |
413 |
$554K |
| H0040 |
Assertive community treatment program, per diem |
894 |
777 |
$517K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,237 |
3,887 |
$373K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
12,144 |
4,236 |
$365K |
| H2011 |
Crisis intervention service, per 15 minutes |
4,988 |
3,058 |
$322K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
2,565 |
977 |
$269K |
| S9484 |
Crisis intervention mental health services, per hour |
2,767 |
1,209 |
$253K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,919 |
1,732 |
$245K |
| H0038 |
Self-help/peer services, per 15 minutes |
7,828 |
2,485 |
$185K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,263 |
1,030 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,891 |
1,349 |
$71K |
| H2015 |
Comprehensive community support services, per 15 minutes |
692 |
148 |
$20K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
147 |
97 |
$12K |
| 90839 |
|
211 |
115 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
410 |
319 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
85 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
39 |
$2K |
| 96131 |
|
21 |
14 |
$1K |
| 96137 |
|
53 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
273 |
206 |
$864.37 |
| 96130 |
|
16 |
13 |
$805.67 |
| 99442 |
|
561 |
488 |
$462.73 |
| 96136 |
|
18 |
13 |
$250.21 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
62 |
49 |
$16.49 |
| H2012 |
Behavioral health day treatment, per hour |
144 |
55 |
$0.00 |