| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
484,831 |
257,980 |
$35.36M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
141,151 |
71,518 |
$30.47M |
| S9485 |
Crisis intervention mental health services, per diem |
46,359 |
23,978 |
$25.86M |
| 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 |
116,270 |
5,091 |
$19.09M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
124,999 |
18,332 |
$18.14M |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
315,356 |
12,544 |
$16.12M |
| T1027 |
Family training and counseling for child development, per 15 minutes |
82,121 |
18,935 |
$8.94M |
| H2015 |
Comprehensive community support services, per 15 minutes |
68,988 |
17,852 |
$8.11M |
| 90837 |
Psychotherapy, 53 minutes with patient |
87,296 |
52,916 |
$7.29M |
| H2011 |
Crisis intervention service, per 15 minutes |
45,986 |
12,766 |
$7.28M |
| H2014 |
Skills training and development, per 15 minutes |
47,911 |
6,098 |
$7.01M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
9,306 |
3,227 |
$6.85M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
8,824 |
1,606 |
$5.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86,090 |
81,066 |
$4.81M |
| H2016 |
Comprehensive community support services, per diem |
271,543 |
11,557 |
$4.41M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
4,987 |
325 |
$4.29M |
| H0040 |
Assertive community treatment program, per diem |
29,581 |
2,020 |
$3.46M |
| 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) |
18,745 |
6,546 |
$3.33M |
| 90832 |
Psychotherapy, 30 minutes with patient |
76,763 |
58,372 |
$2.77M |
| T1001 |
Nursing assessment / evaluation |
19,922 |
19,144 |
$2.65M |
| 90791 |
Psychiatric diagnostic evaluation |
19,398 |
17,296 |
$2.17M |
| 90887 |
|
30,828 |
22,314 |
$1.55M |
| H0038 |
Self-help/peer services, per 15 minutes |
16,117 |
3,798 |
$1.37M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
73,543 |
4,442 |
$1.31M |
| T1017 |
Targeted case management, each 15 minutes |
10,604 |
1,883 |
$1.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,464 |
24,202 |
$1.27M |
| 90882 |
|
25,181 |
16,681 |
$1.16M |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
5,072 |
2,615 |
$1.13M |
| H0037 |
Community psychiatric supportive treatment program, per diem |
644 |
215 |
$1.12M |
| H0046 |
Mental health services, not otherwise specified |
17,956 |
10,667 |
$752K |
| H2012 |
Behavioral health day treatment, per hour |
10,301 |
1,089 |
$690K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
25,474 |
9,307 |
$663K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
5,110 |
3,381 |
$404K |
| 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 |
9,359 |
4,116 |
$278K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,303 |
3,280 |
$261K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
701 |
427 |
$215K |
| 99215 |
Prolong outpt/office vis |
3,460 |
3,027 |
$190K |
| 96153 |
|
2,133 |
797 |
$167K |
| 99404 |
|
659 |
659 |
$108K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,072 |
1,960 |
$82K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,370 |
716 |
$79K |
| H0031 |
Mental health assessment, by non-physician |
953 |
609 |
$62K |
| 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 |
734 |
120 |
$54K |
| T1015 |
Clinic visit/encounter, all-inclusive |
137 |
75 |
$43K |
| 96165 |
|
534 |
239 |
$27K |
| H0032 |
Mental health service plan development by non-physician |
144 |
51 |
$17K |
| 90836 |
|
210 |
200 |
$14K |
| 96164 |
|
717 |
313 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
580 |
551 |
$12K |
| 0011A |
|
289 |
289 |
$10K |
| 0012A |
|
263 |
263 |
$10K |
| S9484 |
Crisis intervention mental health services, per hour |
46 |
46 |
$8K |
| G2076 |
Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
44 |
43 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
257 |
251 |
$7K |
| 0001A |
|
145 |
145 |
$7K |
| 0002A |
|
103 |
103 |
$5K |
| 0031A |
|
111 |
111 |
$3K |
| 0004A |
|
101 |
101 |
$2K |
| 90838 |
|
28 |
28 |
$2K |
| 0071A |
|
40 |
40 |
$2K |
| 0124A |
|
53 |
53 |
$1K |
| 0134A |
|
72 |
66 |
$1K |
| 0064A |
|
72 |
72 |
$848.83 |
| 0072A |
|
17 |
16 |
$779.79 |
| 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) |
15 |
15 |
$150.48 |
| T2024 |
Service assessment/plan of care development, waiver |
1,652 |
1,331 |
$0.00 |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
7,960 |
5,080 |
$0.00 |
| T2038 |
Community transition, waiver; per service |
1,187 |
815 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
348 |
346 |
$0.00 |
| 91300 |
|
118 |
118 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| 91303 |
|
20 |
20 |
$0.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
8,015 |
4,606 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
1,073 |
941 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
172 |
165 |
$0.00 |
| 91301 |
|
81 |
81 |
$0.00 |