| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
584,717 |
197,435 |
$154.68M |
| T1017 |
Targeted case management, each 15 minutes |
473,114 |
206,264 |
$72.28M |
| H2010 |
Comprehensive medication services, per 15 minutes |
191,599 |
132,980 |
$53.81M |
| 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 |
189,597 |
8,227 |
$51.67M |
| H0034 |
Medication training and support, per 15 minutes |
242,713 |
147,178 |
$44.80M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
290,438 |
41,801 |
$37.83M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
466,363 |
84,080 |
$31.95M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
248,975 |
81,330 |
$24.60M |
| H0032 |
Mental health service plan development by non-physician |
82,863 |
61,243 |
$21.18M |
| S9484 |
Crisis intervention mental health services, per hour |
5,687 |
5,246 |
$15.66M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
36,768 |
3,167 |
$15.40M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
46,600 |
5,870 |
$13.41M |
| H2011 |
Crisis intervention service, per 15 minutes |
15,441 |
8,199 |
$9.41M |
| 90837 |
Psychotherapy, 53 minutes with patient |
25,674 |
13,833 |
$8.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,899 |
12,016 |
$7.75M |
| 90834 |
Psychotherapy, 45 minutes with patient |
20,139 |
12,940 |
$5.18M |
| 99215 |
Prolong outpt/office vis |
5,621 |
5,239 |
$4.72M |
| 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) |
17,113 |
9,200 |
$2.87M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
9,619 |
1,836 |
$2.78M |
| 90832 |
Psychotherapy, 30 minutes with patient |
15,913 |
9,484 |
$2.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,513 |
6,109 |
$2.52M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,743 |
383 |
$2.35M |
| S5000 |
Prescription drug, generic |
61,803 |
2,729 |
$1.93M |
| H0006 |
Alcohol and/or drug services; case management |
14,603 |
3,490 |
$1.39M |
| 99205 |
Prolong outpt/office vis |
806 |
775 |
$1.02M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
3,202 |
2,185 |
$927K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,754 |
3,637 |
$899K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
8,057 |
1,730 |
$638K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,010 |
147 |
$584K |
| 90791 |
Psychiatric diagnostic evaluation |
5,114 |
3,975 |
$534K |
| 99233 |
Prolong inpt eval add15 m |
416 |
70 |
$498K |
| H0038 |
Self-help/peer services, per 15 minutes |
2,538 |
1,486 |
$493K |
| H0033 |
Oral medication administration, direct observation |
3,817 |
3,284 |
$475K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,220 |
624 |
$471K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,415 |
3,073 |
$462K |
| T2024 |
Service assessment/plan of care development, waiver |
470 |
428 |
$323K |
| H0031 |
Mental health assessment, by non-physician |
1,092 |
713 |
$290K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
603 |
585 |
$207K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
7,148 |
2,184 |
$146K |
| 99222 |
Initial hospital care, per day, moderate complexity |
111 |
96 |
$143K |
| H2000 |
Comprehensive multidisciplinary evaluation |
613 |
278 |
$118K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
1,737 |
548 |
$118K |
| 99443 |
|
254 |
236 |
$117K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
617 |
391 |
$110K |
| 99366 |
|
239 |
160 |
$85K |
| 99223 |
Prolong inpt eval add15 m |
41 |
39 |
$71K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
129 |
127 |
$42K |
| T1001 |
Nursing assessment / evaluation |
133 |
126 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$30K |
| 99367 |
|
17 |
12 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
66 |
$18K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$18K |
| 90785 |
|
1,202 |
529 |
$17K |
| 96127 |
|
157 |
148 |
$16K |
| 99368 |
|
14 |
13 |
$7K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
33 |
29 |
$990.00 |
| 90849 |
|
46 |
20 |
$981.45 |
| 98968 |
|
17 |
16 |
$768.50 |