| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0034 |
Medication training and support, per 15 minutes |
865,462 |
538,647 |
$225.48M |
| H2015 |
Comprehensive community support services, per 15 minutes |
1,315,018 |
442,826 |
$220.90M |
| 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 |
772,212 |
42,396 |
$179.07M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
1,093,222 |
318,566 |
$160.94M |
| T1017 |
Targeted case management, each 15 minutes |
865,575 |
305,820 |
$144.70M |
| S9484 |
Crisis intervention mental health services, per hour |
97,823 |
83,936 |
$78.25M |
| 90837 |
Psychotherapy, 53 minutes with patient |
125,205 |
57,799 |
$64.70M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
2,404,069 |
94,807 |
$36.59M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
79,200 |
7,873 |
$33.35M |
| H0038 |
Self-help/peer services, per 15 minutes |
95,576 |
37,267 |
$30.51M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
203,378 |
117,033 |
$28.36M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
76,121 |
8,409 |
$27.29M |
| H2010 |
Comprehensive medication services, per 15 minutes |
62,978 |
50,131 |
$20.86M |
| 90834 |
Psychotherapy, 45 minutes with patient |
59,243 |
36,423 |
$19.62M |
| H2011 |
Crisis intervention service, per 15 minutes |
56,024 |
11,217 |
$18.87M |
| H2013 |
Psychiatric health facility service, per diem |
17,314 |
3,143 |
$17.41M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
179,011 |
31,034 |
$12.47M |
| 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) |
33,001 |
22,491 |
$12.35M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
36,037 |
6,271 |
$8.84M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,295 |
2,495 |
$7.74M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
17,448 |
10,852 |
$7.30M |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
62,686 |
11,255 |
$7.26M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
8,531 |
1,989 |
$5.13M |
| 90832 |
Psychotherapy, 30 minutes with patient |
19,062 |
13,478 |
$4.32M |
| 99205 |
Prolong outpt/office vis |
2,610 |
2,590 |
$4.29M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,111 |
2,046 |
$2.39M |
| 90791 |
Psychiatric diagnostic evaluation |
15,435 |
13,270 |
$2.28M |
| S5000 |
Prescription drug, generic |
72,910 |
5,444 |
$2.26M |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,499 |
1,444 |
$2.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,681 |
12,306 |
$1.81M |
| 99233 |
Prolong inpt eval add15 m |
1,348 |
425 |
$1.67M |
| 99215 |
Prolong outpt/office vis |
1,208 |
1,197 |
$1.25M |
| H0033 |
Oral medication administration, direct observation |
6,077 |
1,887 |
$1.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,302 |
5,160 |
$935K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,506 |
934 |
$919K |
| T2024 |
Service assessment/plan of care development, waiver |
659 |
647 |
$661K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
6,428 |
1,361 |
$638K |
| 99221 |
|
555 |
533 |
$565K |
| 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 |
6,234 |
695 |
$544K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
2,484 |
1,973 |
$497K |
| 99223 |
Prolong inpt eval add15 m |
297 |
265 |
$459K |
| 96137 |
|
366 |
366 |
$456K |
| 96130 |
|
639 |
439 |
$408K |
| 96131 |
|
239 |
239 |
$364K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
885 |
866 |
$283K |
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
506 |
63 |
$194K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,178 |
2,134 |
$100K |
| 96136 |
|
366 |
366 |
$94K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
311 |
169 |
$86K |
| H1011 |
Family assessment by licensed behavioral health professional for state defined purposes |
592 |
591 |
$82K |
| 99368 |
|
151 |
56 |
$46K |
| H0006 |
Alcohol and/or drug services; case management |
737 |
417 |
$40K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
195 |
195 |
$34K |
| 99415 |
Prolong outpt/office vis |
15 |
15 |
$28K |
| H2027 |
Psychoeducational service, per 15 minutes |
645 |
641 |
$19K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
643 |
639 |
$19K |
| 99443 |
|
132 |
103 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
68 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,893 |
4,779 |
$8K |
| H2014 |
Skills training and development, per 15 minutes |
51 |
12 |
$8K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,284 |
1,253 |
$4K |
| 51729 |
|
12 |
12 |
$3K |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
170 |
157 |
$3K |
| 87428 |
|
27 |
27 |
$1K |
| 81002 |
|
476 |
450 |
$903.86 |
| 51797 |
|
12 |
12 |
$659.00 |
| 81003 |
|
209 |
207 |
$374.51 |
| 90656 |
|
16 |
16 |
$357.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
54 |
$228.38 |
| 51741 |
|
12 |
12 |
$226.36 |
| 81007 |
|
12 |
12 |
$30.69 |
| 90688 |
|
17 |
17 |
$20.48 |
| 3080F |
|
205 |
200 |
$1.20 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
60 |
57 |
$0.00 |
| 3077F |
|
590 |
577 |
$0.00 |
| 3078F |
|
1,365 |
1,326 |
$0.00 |
| 3075F |
|
533 |
526 |
$0.00 |
| 3079F |
|
1,254 |
1,223 |
$0.00 |
| 3074F |
|
1,715 |
1,654 |
$0.00 |
| 90686 |
|
17 |
17 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
22 |
22 |
$0.00 |