| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
660,637 |
169,526 |
$150.91M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
231,442 |
63,562 |
$74.63M |
| T1017 |
Targeted case management, each 15 minutes |
213,303 |
85,603 |
$49.40M |
| 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 |
123,191 |
6,679 |
$35.57M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
64,414 |
6,379 |
$26.20M |
| 90837 |
Psychotherapy, 53 minutes with patient |
54,687 |
25,196 |
$20.68M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
1,305,955 |
48,826 |
$20.11M |
| S9484 |
Crisis intervention mental health services, per hour |
10,746 |
5,706 |
$19.09M |
| H0032 |
Mental health service plan development by non-physician |
64,060 |
29,949 |
$18.58M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
38,275 |
3,239 |
$17.29M |
| 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) |
35,910 |
21,587 |
$10.59M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
87,611 |
44,791 |
$10.05M |
| 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 |
65,230 |
4,782 |
$6.80M |
| 90834 |
Psychotherapy, 45 minutes with patient |
24,444 |
12,175 |
$6.78M |
| 99233 |
Prolong inpt eval add15 m |
4,764 |
826 |
$6.53M |
| 99215 |
Prolong outpt/office vis |
6,067 |
5,530 |
$6.24M |
| H2010 |
Comprehensive medication services, per 15 minutes |
34,340 |
20,641 |
$6.11M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,942 |
679 |
$5.99M |
| H2011 |
Crisis intervention service, per 15 minutes |
4,855 |
2,613 |
$4.88M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
32,332 |
6,011 |
$4.72M |
| H0031 |
Mental health assessment, by non-physician |
11,508 |
7,864 |
$4.50M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,161 |
6,877 |
$4.49M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
6,597 |
1,753 |
$3.01M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
7,706 |
3,741 |
$2.54M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
6,020 |
2,818 |
$2.50M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
4,456 |
1,764 |
$2.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,136 |
3,983 |
$2.10M |
| 99223 |
Prolong inpt eval add15 m |
972 |
869 |
$1.92M |
| T2024 |
Service assessment/plan of care development, waiver |
1,709 |
1,511 |
$1.77M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,762 |
8,256 |
$1.46M |
| T1001 |
Nursing assessment / evaluation |
3,349 |
3,086 |
$1.21M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,817 |
2,752 |
$1.10M |
| H0006 |
Alcohol and/or drug services; case management |
11,919 |
4,685 |
$1.06M |
| H0034 |
Medication training and support, per 15 minutes |
2,957 |
2,483 |
$748K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,917 |
2,670 |
$693K |
| 90791 |
Psychiatric diagnostic evaluation |
4,913 |
3,474 |
$615K |
| 99443 |
|
987 |
953 |
$459K |
| 99349 |
|
492 |
400 |
$432K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
1,139 |
1,090 |
$347K |
| 99348 |
|
430 |
390 |
$315K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
606 |
587 |
$288K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
173 |
170 |
$253K |
| H2000 |
Comprehensive multidisciplinary evaluation |
578 |
422 |
$223K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
2,784 |
2,312 |
$217K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
211 |
21 |
$155K |
| 90885 |
|
714 |
688 |
$152K |
| 96127 |
|
1,198 |
1,051 |
$137K |
| 99350 |
Prolong home eval add 15m |
99 |
92 |
$130K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
339 |
333 |
$120K |
| H0038 |
Self-help/peer services, per 15 minutes |
488 |
246 |
$99K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
1,163 |
247 |
$97K |
| 99442 |
|
236 |
229 |
$84K |
| 99205 |
Prolong outpt/office vis |
54 |
54 |
$66K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
330 |
152 |
$59K |
| 90849 |
|
1,037 |
399 |
$58K |
| S5000 |
Prescription drug, generic |
1,874 |
83 |
$58K |
| 90785 |
|
3,399 |
1,691 |
$55K |
| 90838 |
|
39 |
34 |
$54K |
| 99254 |
|
30 |
28 |
$49K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,695 |
588 |
$39K |
| 90887 |
|
129 |
121 |
$35K |
| H0049 |
Alcohol and/or drug screening |
57 |
55 |
$5K |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$3K |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
20 |
20 |
$1K |