| 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 |
132,246 |
7,145 |
$25.80M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
30,655 |
10,328 |
$24.46M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
103,925 |
19,145 |
$5.02M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
33,255 |
5,450 |
$3.23M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
9,611 |
1,422 |
$1.91M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
16,572 |
10,476 |
$1.11M |
| 90837 |
Psychotherapy, 53 minutes with patient |
8,501 |
3,942 |
$932K |
| H0001 |
Alcohol and/or drug assessment |
6,322 |
5,916 |
$925K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
27,204 |
14,757 |
$457K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,590 |
3,826 |
$293K |
| H0038 |
Self-help/peer services, per 15 minutes |
6,784 |
3,758 |
$249K |
| H2014 |
Skills training and development, per 15 minutes |
3,257 |
1,259 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,603 |
1,390 |
$169K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,379 |
891 |
$126K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
636 |
585 |
$118K |
| H2011 |
Crisis intervention service, per 15 minutes |
934 |
850 |
$107K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,748 |
739 |
$102K |
| H0006 |
Alcohol and/or drug services; case management |
3,655 |
2,972 |
$101K |
| 90791 |
Psychiatric diagnostic evaluation |
812 |
686 |
$90K |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
547 |
241 |
$85K |
| H0032 |
Mental health service plan development by non-physician |
957 |
835 |
$79K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
657 |
503 |
$63K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
639 |
585 |
$48K |
| 90832 |
Psychotherapy, 30 minutes with patient |
677 |
406 |
$39K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
283 |
109 |
$34K |
| 99215 |
Prolong outpt/office vis |
202 |
170 |
$33K |
| G0177 |
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
843 |
373 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
715 |
619 |
$28K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
698 |
641 |
$23K |
| 90839 |
|
187 |
160 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,002 |
461 |
$14K |
| 80305 |
|
1,418 |
1,140 |
$11K |
| T1016 |
Case management, each 15 minutes |
174 |
96 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
113 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
67 |
$11K |
| 96160 |
|
1,665 |
1,435 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
395 |
358 |
$5K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
395 |
243 |
$5K |
| 99406 |
|
384 |
336 |
$4K |
| 81025 |
|
702 |
623 |
$4K |
| 0011A |
|
118 |
105 |
$3K |
| 86580 |
|
377 |
368 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
26 |
$3K |
| 0012A |
|
78 |
73 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
117 |
112 |
$2K |
| 90674 |
|
73 |
63 |
$2K |
| 99442 |
|
67 |
56 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
80 |
$1K |
| 90686 |
|
104 |
102 |
$931.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
12 |
$760.91 |
| 90863 |
|
46 |
43 |
$594.22 |
| 99441 |
|
46 |
44 |
$582.01 |
| 0031A |
|
15 |
15 |
$555.00 |
| 90756 |
|
18 |
17 |
$308.05 |
| 90785 |
|
13 |
12 |
$128.80 |
| 81000 |
|
27 |
27 |
$64.70 |
| 96127 |
|
50 |
36 |
$63.77 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
92 |
79 |
$0.00 |