| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2017 |
Habilitation, residential, waiver; 15 minutes |
10,779 |
3,697 |
$32.27M |
| S5145 |
Foster care, therapeutic, child; per diem |
147,844 |
5,041 |
$28.10M |
| T2013 |
Habilitation, educational, waiver; per hour |
4,166 |
1,765 |
$20.64M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
10,361 |
3,570 |
$9.57M |
| H2020 |
Therapeutic behavioral services, per diem |
49,332 |
5,409 |
$9.11M |
| T2016 |
Habilitation, residential, waiver; per diem |
28,862 |
900 |
$8.13M |
| H0032 |
Mental health service plan development by non-physician |
18,334 |
16,396 |
$6.60M |
| H0040 |
Assertive community treatment program, per diem |
32,963 |
3,788 |
$5.11M |
| T1016 |
Case management, each 15 minutes |
85,987 |
16,653 |
$3.90M |
| S5102 |
Day care services, adult; per diem |
16,885 |
503 |
$3.73M |
| H2012 |
Behavioral health day treatment, per hour |
39,001 |
2,265 |
$2.58M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
68,705 |
4,012 |
$2.29M |
| S5100 |
Day care services, adult; per 15 minutes |
2,687 |
717 |
$1.92M |
| T2032 |
Residential care, not otherwise specified (nos), waiver; per month |
1,363 |
1,239 |
$1.15M |
| H0046 |
Mental health services, not otherwise specified |
6,948 |
2,440 |
$1.11M |
| H2032 |
Activity therapy, per 15 minutes |
4,843 |
722 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,402 |
4,375 |
$633K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,712 |
3,221 |
$572K |
| 99215 |
Prolong outpt/office vis |
2,047 |
1,710 |
$376K |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
3,974 |
456 |
$309K |
| T2002 |
Non-emergency transportation; per diem |
2,775 |
2,575 |
$283K |
| T2003 |
Non-emergency transportation; encounter/trip |
6,009 |
4,391 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,951 |
1,611 |
$145K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,134 |
1,246 |
$136K |
| Q3014 |
Telehealth originating site facility fee |
4,616 |
3,657 |
$102K |
| 90791 |
Psychiatric diagnostic evaluation |
981 |
936 |
$100K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
1,096 |
707 |
$69K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
707 |
243 |
$43K |
| 90834 |
Psychotherapy, 45 minutes with patient |
425 |
292 |
$27K |
| 99205 |
Prolong outpt/office vis |
134 |
114 |
$21K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,857 |
622 |
$19K |
| 90832 |
Psychotherapy, 30 minutes with patient |
415 |
252 |
$17K |
| 97156 |
|
183 |
79 |
$10K |
| 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) |
90 |
88 |
$8K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
167 |
66 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
16 |
$1K |
| 99408 |
|
18 |
18 |
$401.04 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
658 |
118 |
$0.00 |
| T2023 |
Targeted case management; per month |
12 |
12 |
$0.00 |