| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
133,200 |
115,822 |
$39.74M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
73,130 |
2,385 |
$20.72M |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
92,171 |
7,160 |
$8.31M |
| T1017 |
Targeted case management, each 15 minutes |
16,492 |
15,738 |
$5.44M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
67,630 |
5,535 |
$3.93M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
39,109 |
3,352 |
$3.76M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
6,028 |
1,214 |
$3.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,189 |
30,867 |
$2.30M |
| H2011 |
Crisis intervention service, per 15 minutes |
2,001 |
1,332 |
$2.10M |
| H2012 |
Behavioral health day treatment, per hour |
22,184 |
2,249 |
$1.88M |
| H2016 |
Comprehensive community support services, per diem |
22,153 |
1,980 |
$1.84M |
| H0006 |
Alcohol and/or drug services; case management |
8,510 |
6,633 |
$1.64M |
| 90837 |
Psychotherapy, 53 minutes with patient |
18,370 |
12,485 |
$1.57M |
| 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 |
7,607 |
1,009 |
$1.27M |
| 90834 |
Psychotherapy, 45 minutes with patient |
17,127 |
12,955 |
$1.10M |
| T2022 |
Case management, per month |
8,371 |
7,151 |
$981K |
| 90832 |
Psychotherapy, 30 minutes with patient |
18,006 |
12,604 |
$893K |
| T2023 |
Targeted case management; per month |
2,445 |
2,399 |
$806K |
| 90791 |
Psychiatric diagnostic evaluation |
7,934 |
6,616 |
$764K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
2,399 |
1,536 |
$711K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
6,926 |
2,813 |
$667K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,261 |
7,601 |
$392K |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
3,369 |
1,743 |
$334K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
17,623 |
6,015 |
$328K |
| H0046 |
Mental health services, not otherwise specified |
2,571 |
422 |
$272K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
4,172 |
402 |
$261K |
| 99215 |
Prolong outpt/office vis |
3,581 |
2,920 |
$257K |
| G0153 |
Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes |
1,671 |
642 |
$188K |
| S9485 |
Crisis intervention mental health services, per diem |
224 |
156 |
$145K |
| Q3014 |
Telehealth originating site facility fee |
6,186 |
4,957 |
$92K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
703 |
292 |
$92K |
| 99442 |
|
2,624 |
2,354 |
$70K |
| 99443 |
|
1,802 |
1,533 |
$68K |
| G0495 |
Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes |
567 |
186 |
$52K |
| 80306 |
|
5,975 |
2,870 |
$46K |
| S9482 |
Family stabilization services, per 15 minutes |
254 |
53 |
$32K |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
182 |
82 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,932 |
2,566 |
$26K |
| H0032 |
Mental health service plan development by non-physician |
772 |
626 |
$26K |
| S0221 |
Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes |
498 |
246 |
$24K |
| 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) |
905 |
282 |
$20K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,163 |
185 |
$20K |
| A0100 |
Non-emergency transportation; taxi |
2,104 |
116 |
$19K |
| 99205 |
Prolong outpt/office vis |
225 |
172 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
318 |
213 |
$14K |
| 99441 |
|
129 |
124 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
177 |
137 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
12 |
12 |
$1K |
| 80305 |
|
72 |
47 |
$757.75 |
| 82075 |
|
23 |
13 |
$110.78 |
| G0478 |
Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) read by instrument-assisted direct optical observation (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service |
51 |
17 |
$0.00 |