| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
1,603,480 |
222,894 |
$137.90M |
| 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) |
493,350 |
17,490 |
$67.84M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
291,295 |
30,363 |
$34.37M |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
121,769 |
11,073 |
$10.10M |
| H0034 |
Medication training and support, per 15 minutes |
89,017 |
53,968 |
$5.93M |
| H0040 |
Assertive community treatment program, per diem |
3,464 |
2,570 |
$3.43M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
27,446 |
9,078 |
$1.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,324 |
13,955 |
$1.71M |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
12,982 |
8,953 |
$1.37M |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
8,925 |
8,599 |
$1.07M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
13,410 |
10,144 |
$846K |
| 90791 |
Psychiatric diagnostic evaluation |
4,876 |
4,721 |
$591K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,139 |
3,159 |
$541K |
| T1017 |
Targeted case management, each 15 minutes |
3,908 |
2,734 |
$508K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,681 |
5,856 |
$353K |
| 99215 |
Prolong outpt/office vis |
2,987 |
2,332 |
$337K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,939 |
4,505 |
$291K |
| H2033 |
Multisystemic therapy for juveniles, per 15 minutes |
1,871 |
311 |
$252K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,118 |
2,401 |
$172K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
934 |
877 |
$131K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
10,021 |
7,278 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
819 |
619 |
$73K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,415 |
1,022 |
$55K |
| 90836 |
|
803 |
768 |
$54K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
3,117 |
876 |
$41K |
| 99509 |
Home visit for assistance with activities of daily living and personal care |
271 |
13 |
$38K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,314 |
745 |
$28K |
| H0038 |
Self-help/peer services, per 15 minutes |
295 |
175 |
$22K |
| 99205 |
Prolong outpt/office vis |
178 |
128 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,426 |
1,126 |
$14K |
| 99408 |
|
275 |
248 |
$14K |
| 96127 |
|
960 |
930 |
$12K |
| 86328 |
|
286 |
266 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
639 |
484 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12,551 |
9,186 |
$10K |
| 90838 |
|
995 |
959 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
564 |
364 |
$4K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
138 |
123 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
96 |
60 |
$4K |
| 99409 |
|
29 |
29 |
$3K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
257 |
120 |
$3K |
| 87400 |
|
836 |
392 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
154 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
919 |
882 |
$613.58 |
| 87430 |
|
61 |
38 |
$255.55 |
| 81002 |
|
52 |
52 |
$144.56 |
| 81025 |
|
15 |
15 |
$103.35 |
| 87081 |
|
97 |
44 |
$100.70 |
| 87807 |
|
32 |
13 |
$52.40 |
| H0001 |
Alcohol and/or drug assessment |
14 |
14 |
$0.00 |
| 99999 |
|
20 |
14 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
374 |
241 |
$0.00 |
| H0044 |
Supported housing, per month |
173 |
41 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
164 |
162 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
155 |
28 |
$0.00 |
| DMH20 |
|
35 |
33 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
152 |
12 |
$0.00 |