| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
462,490 |
378,367 |
$67.89M |
| H0043 |
Supported housing, per diem |
582,139 |
19,167 |
$55.92M |
| 90837 |
Psychotherapy, 53 minutes with patient |
462,719 |
221,723 |
$48.40M |
| 90834 |
Psychotherapy, 45 minutes with patient |
616,328 |
302,377 |
$46.24M |
| H0037 |
Community psychiatric supportive treatment program, per diem |
192,417 |
25,859 |
$30.99M |
| 90832 |
Psychotherapy, 30 minutes with patient |
477,096 |
273,567 |
$26.88M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
242,653 |
154,588 |
$15.19M |
| H2020 |
Therapeutic behavioral services, per diem |
6,327 |
5,905 |
$12.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
254,875 |
197,448 |
$11.23M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
224,573 |
16,515 |
$10.17M |
| 90791 |
Psychiatric diagnostic evaluation |
85,653 |
65,834 |
$10.00M |
| G9002 |
Coordinated care fee, maintenance rate |
43,461 |
4,850 |
$8.78M |
| H2018 |
Psychosocial rehabilitation services, per diem |
107,257 |
8,048 |
$8.36M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
22,343 |
16,833 |
$2.98M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
29,927 |
21,065 |
$2.48M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
13,951 |
3,178 |
$2.37M |
| S5145 |
Foster care, therapeutic, child; per diem |
2,361 |
2,293 |
$1.59M |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
12,999 |
10,524 |
$910K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
7,618 |
2,733 |
$194K |
| H0038 |
Self-help/peer services, per 15 minutes |
4,425 |
1,726 |
$194K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,059 |
3,390 |
$161K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
5,349 |
3,061 |
$112K |
| H0033 |
Oral medication administration, direct observation |
1,208 |
699 |
$104K |
| 99215 |
Prolong outpt/office vis |
1,075 |
647 |
$56K |
| H0034 |
Medication training and support, per 15 minutes |
2,217 |
1,162 |
$35K |
| T1016 |
Case management, each 15 minutes |
6,360 |
1,574 |
$31K |
| S9484 |
Crisis intervention mental health services, per hour |
3,836 |
3,319 |
$12K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
89 |
43 |
$8K |
| 99442 |
|
348 |
332 |
$5K |
| 90785 |
|
2,012 |
1,133 |
$2K |
| H2010 |
Comprehensive medication services, per 15 minutes |
13 |
12 |
$900.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
549 |
309 |
$863.41 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
203,408 |
152,537 |
$531.58 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
259,203 |
198,521 |
$354.50 |
| G9006 |
Coordinated care fee, home monitoring |
132,881 |
107,932 |
$177.57 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
75,286 |
60,768 |
$0.21 |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
27,407 |
21,880 |
$0.10 |
| G9007 |
Coordinated care fee, scheduled team conference |
4,424 |
3,596 |
$0.03 |
| T2002 |
Non-emergency transportation; per diem |
30 |
12 |
$0.00 |
| S9485 |
Crisis intervention mental health services, per diem |
1,793 |
1,528 |
$0.00 |