| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
133,600 |
37,800 |
$30.39M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
38,997 |
2,934 |
$17.80M |
| H2015 |
Comprehensive community support services, per 15 minutes |
71,190 |
22,162 |
$10.81M |
| T1017 |
Targeted case management, each 15 minutes |
63,945 |
25,024 |
$10.47M |
| 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 |
51,177 |
3,048 |
$9.88M |
| H2010 |
Comprehensive medication services, per 15 minutes |
45,259 |
17,383 |
$7.55M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
21,556 |
3,001 |
$6.83M |
| 90837 |
Psychotherapy, 53 minutes with patient |
11,546 |
3,781 |
$5.20M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
33,407 |
13,776 |
$4.78M |
| H0006 |
Alcohol and/or drug services; case management |
25,277 |
4,595 |
$3.17M |
| 99233 |
Prolong inpt eval add15 m |
1,722 |
340 |
$2.86M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
191,306 |
7,420 |
$2.78M |
| 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 |
37,282 |
1,987 |
$2.73M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
43,148 |
7,054 |
$2.54M |
| H0032 |
Mental health service plan development by non-physician |
11,439 |
6,819 |
$2.39M |
| H0034 |
Medication training and support, per 15 minutes |
6,759 |
4,887 |
$1.98M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,711 |
1,431 |
$1.84M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
7,818 |
1,416 |
$1.57M |
| 99215 |
Prolong outpt/office vis |
631 |
536 |
$963K |
| H2011 |
Crisis intervention service, per 15 minutes |
1,744 |
965 |
$898K |
| H2014 |
Skills training and development, per 15 minutes |
4,331 |
296 |
$893K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,297 |
1,041 |
$811K |
| 99223 |
Prolong inpt eval add15 m |
243 |
236 |
$606K |
| H0031 |
Mental health assessment, by non-physician |
938 |
520 |
$373K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
181 |
75 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
172 |
$145K |
| 90832 |
Psychotherapy, 30 minutes with patient |
643 |
392 |
$144K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
200 |
121 |
$136K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
71 |
64 |
$114K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
58 |
14 |
$55K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
246 |
225 |
$49K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
27 |
$30K |
| H0049 |
Alcohol and/or drug screening |
102 |
82 |
$19K |
| H0001 |
Alcohol and/or drug assessment |
15 |
13 |
$11K |
| H0038 |
Self-help/peer services, per 15 minutes |
28 |
17 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$5K |
| 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) |
21 |
14 |
$5K |