| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
741,919 |
274,880 |
$369.74M |
| S9484 |
Crisis intervention mental health services, per hour |
44,274 |
27,322 |
$145.15M |
| H0034 |
Medication training and support, per 15 minutes |
411,962 |
154,144 |
$141.70M |
| T1017 |
Targeted case management, each 15 minutes |
436,134 |
162,396 |
$133.89M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
316,222 |
96,061 |
$120.07M |
| H2010 |
Comprehensive medication services, per 15 minutes |
173,136 |
136,429 |
$111.02M |
| 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 |
281,321 |
14,435 |
$74.56M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
3,053,655 |
122,435 |
$45.25M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
67,022 |
6,272 |
$32.69M |
| H0032 |
Mental health service plan development by non-physician |
77,786 |
52,532 |
$29.19M |
| 90837 |
Psychotherapy, 53 minutes with patient |
56,987 |
26,445 |
$26.49M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
238,784 |
120,986 |
$24.52M |
| H2011 |
Crisis intervention service, per 15 minutes |
10,583 |
6,947 |
$16.22M |
| 90834 |
Psychotherapy, 45 minutes with patient |
31,597 |
17,510 |
$12.01M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
10,334 |
1,647 |
$9.72M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
17,089 |
3,400 |
$9.19M |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
18,158 |
10,002 |
$6.93M |
| 99215 |
Prolong outpt/office vis |
6,647 |
5,606 |
$6.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,656 |
5,982 |
$5.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,719 |
7,731 |
$4.97M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
65,947 |
10,749 |
$3.53M |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,521 |
6,561 |
$2.11M |
| 99443 |
|
3,893 |
3,400 |
$2.01M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,130 |
4,157 |
$1.72M |
| 90791 |
Psychiatric diagnostic evaluation |
8,610 |
5,218 |
$1.40M |
| S5000 |
Prescription drug, generic |
42,173 |
1,888 |
$1.11M |
| H2012 |
Behavioral health day treatment, per hour |
4,681 |
461 |
$990K |
| H0006 |
Alcohol and/or drug services; case management |
7,971 |
4,729 |
$782K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,190 |
581 |
$622K |
| H0031 |
Mental health assessment, by non-physician |
1,620 |
1,016 |
$581K |
| H0033 |
Oral medication administration, direct observation |
3,307 |
1,365 |
$515K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
956 |
551 |
$416K |
| 90885 |
|
1,109 |
931 |
$381K |
| 99442 |
|
1,026 |
972 |
$335K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
4,481 |
782 |
$274K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
1,161 |
426 |
$229K |
| T2024 |
Service assessment/plan of care development, waiver |
191 |
143 |
$198K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
355 |
331 |
$196K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
238 |
199 |
$167K |
| 99350 |
Prolong home eval add 15m |
178 |
125 |
$167K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
196 |
195 |
$121K |
| S5001 |
Prescription drug, brand name |
733 |
687 |
$105K |
| 99349 |
|
194 |
153 |
$96K |
| 99205 |
Prolong outpt/office vis |
123 |
123 |
$95K |
| 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 |
2,175 |
120 |
$91K |
| H2000 |
Comprehensive multidisciplinary evaluation |
205 |
169 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
97 |
$71K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
154 |
102 |
$69K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,238 |
626 |
$65K |
| 96130 |
|
82 |
24 |
$61K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
382 |
370 |
$38K |
| 90785 |
|
2,868 |
932 |
$37K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
97 |
96 |
$32K |
| H0001 |
Alcohol and/or drug assessment |
336 |
335 |
$32K |
| H2014 |
Skills training and development, per 15 minutes |
249 |
74 |
$23K |
| 99348 |
|
28 |
27 |
$16K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
12 |
12 |
$360.00 |
| G2078 |
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
993 |
224 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
26 |
12 |
$0.00 |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
892 |
303 |
$0.00 |