| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
19,387 |
2,054 |
$19.94M |
| 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 |
83,861 |
3,826 |
$10.83M |
| 90834 |
Psychotherapy, 45 minutes with patient |
113,683 |
54,260 |
$9.19M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
30,945 |
3,437 |
$8.88M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
637,034 |
28,430 |
$8.32M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
20,268 |
4,217 |
$8.29M |
| 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) |
31,539 |
8,765 |
$5.07M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
20,054 |
8,055 |
$4.69M |
| H2015 |
Comprehensive community support services, per 15 minutes |
48,883 |
18,536 |
$3.70M |
| H2016 |
Comprehensive community support services, per diem |
158,932 |
7,031 |
$2.82M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
18,134 |
2,595 |
$2.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,254 |
27,994 |
$2.51M |
| T1027 |
Family training and counseling for child development, per 15 minutes |
19,530 |
3,409 |
$2.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,233 |
28,970 |
$1.89M |
| S9485 |
Crisis intervention mental health services, per diem |
1,492 |
841 |
$1.15M |
| 90882 |
|
19,429 |
8,449 |
$1.04M |
| 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 |
9,498 |
1,643 |
$949K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
17,733 |
9,840 |
$904K |
| 90791 |
Psychiatric diagnostic evaluation |
7,564 |
7,402 |
$853K |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,317 |
2,455 |
$450K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,379 |
4,319 |
$420K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,745 |
6,766 |
$353K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
10,637 |
4,320 |
$302K |
| 99404 |
|
1,146 |
1,144 |
$179K |
| H2011 |
Crisis intervention service, per 15 minutes |
1,705 |
725 |
$104K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,688 |
2,404 |
$90K |
| G2074 |
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
476 |
428 |
$56K |
| 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 |
1,621 |
982 |
$53K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
418 |
333 |
$35K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
1,203 |
568 |
$26K |
| 99215 |
Prolong outpt/office vis |
128 |
122 |
$17K |
| 98968 |
|
555 |
367 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
298 |
282 |
$12K |
| T2022 |
Case management, per month |
59 |
59 |
$9K |
| 99442 |
|
268 |
245 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
73 |
$1K |
| 99443 |
|
34 |
33 |
$1K |
| H0046 |
Mental health services, not otherwise specified |
42 |
29 |
$902.16 |
| 0031A |
|
18 |
18 |
$825.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$316.38 |
| 91303 |
|
18 |
18 |
$0.00 |