| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
269,605 |
26,709 |
$54.93M |
| S9485 |
Crisis intervention mental health services, per diem |
316,359 |
159,668 |
$24.90M |
| T1016 |
Case management, each 15 minutes |
1,006,824 |
288,853 |
$21.05M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
336,208 |
125,834 |
$18.89M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130,648 |
110,151 |
$5.56M |
| H0031 |
Mental health assessment, by non-physician |
39,451 |
37,904 |
$4.88M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163,172 |
123,593 |
$4.42M |
| H0038 |
Self-help/peer services, per 15 minutes |
161,184 |
61,978 |
$3.21M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
56,528 |
26,608 |
$2.66M |
| H2014 |
Skills training and development, per 15 minutes |
117,137 |
49,234 |
$2.52M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
39,114 |
37,215 |
$2.44M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
99,860 |
60,732 |
$2.22M |
| H2010 |
Comprehensive medication services, per 15 minutes |
194,968 |
16,435 |
$2.21M |
| S9484 |
Crisis intervention mental health services, per hour |
54,751 |
43,062 |
$2.14M |
| H2016 |
Comprehensive community support services, per diem |
8,133 |
2,859 |
$1.79M |
| 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 |
10,916 |
2,199 |
$1.77M |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
6,749 |
1,979 |
$1.68M |
| H2011 |
Crisis intervention service, per 15 minutes |
36,949 |
29,999 |
$1.58M |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
7,189 |
1,950 |
$1.48M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
43,382 |
20,422 |
$1.17M |
| S0215 |
Non-emergency transportation; mileage, per mile |
54,820 |
30,468 |
$1.07M |
| 80305 |
|
186,918 |
121,551 |
$1.02M |
| 99215 |
Prolong outpt/office vis |
18,284 |
16,060 |
$1.02M |
| T1002 |
Rn services, up to 15 minutes |
88,523 |
43,131 |
$947K |
| H0006 |
Alcohol and/or drug services; case management |
4,383 |
2,267 |
$903K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
238,482 |
16,905 |
$827K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
72,065 |
30,413 |
$700K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
4,728 |
2,364 |
$680K |
| 82075 |
|
31,920 |
12,858 |
$553K |
| 99221 |
|
9,868 |
9,327 |
$528K |
| 90791 |
Psychiatric diagnostic evaluation |
10,154 |
9,638 |
$520K |
| H0046 |
Mental health services, not otherwise specified |
85,752 |
9,076 |
$439K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,574 |
17,450 |
$383K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
7,765 |
7,391 |
$314K |
| H0034 |
Medication training and support, per 15 minutes |
74,607 |
15,751 |
$250K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,693 |
8,452 |
$191K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
41,363 |
19,821 |
$127K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
8,465 |
7,832 |
$125K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,421 |
3,969 |
$113K |
| H2027 |
Psychoeducational service, per 15 minutes |
6,304 |
3,445 |
$111K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,351 |
1,299 |
$79K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
9,160 |
4,846 |
$74K |
| 81025 |
|
22,890 |
15,783 |
$71K |
| 99233 |
Prolong inpt eval add15 m |
1,573 |
1,094 |
$71K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
11,220 |
6,879 |
$60K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
438 |
433 |
$46K |
| H0001 |
Alcohol and/or drug assessment |
1,059 |
892 |
$39K |
| 99222 |
Initial hospital care, per day, moderate complexity |
411 |
398 |
$32K |
| A0100 |
Non-emergency transportation; taxi |
13,981 |
9,965 |
$26K |
| 99443 |
|
306 |
274 |
$24K |
| 82962 |
|
9,984 |
3,368 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
776 |
725 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
172 |
158 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
66 |
36 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
98 |
$9K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
1,369 |
893 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
982 |
955 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
421 |
340 |
$6K |
| 99201 |
|
263 |
248 |
$4K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
91 |
67 |
$3K |
| 93000 |
|
225 |
210 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
150 |
140 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
205 |
146 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
112 |
$1K |
| 99385 |
|
14 |
14 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
53 |
53 |
$444.09 |
| 99386 |
|
12 |
12 |
$440.59 |
| 99205 |
Prolong outpt/office vis |
329 |
317 |
$263.39 |
| 90674 |
|
57 |
47 |
$116.55 |
| 86580 |
|
33 |
22 |
$53.83 |
| H0043 |
Supported housing, per diem |
211 |
85 |
$0.00 |
| 1111F |
|
1,462 |
1,178 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
27 |
24 |
$0.00 |