| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
407,756 |
175,662 |
$74.62M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
252,755 |
107,847 |
$48.08M |
| H2010 |
Comprehensive medication services, per 15 minutes |
160,191 |
52,965 |
$23.45M |
| T1017 |
Targeted case management, each 15 minutes |
171,182 |
78,899 |
$20.19M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
1,327,136 |
49,397 |
$19.77M |
| 90837 |
Psychotherapy, 53 minutes with patient |
23,918 |
17,182 |
$11.82M |
| 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 |
80,764 |
4,598 |
$11.41M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
94,005 |
53,303 |
$9.95M |
| 99233 |
Prolong inpt eval add15 m |
6,340 |
826 |
$8.91M |
| H0032 |
Mental health service plan development by non-physician |
34,645 |
33,895 |
$7.50M |
| 90834 |
Psychotherapy, 45 minutes with patient |
14,836 |
11,873 |
$5.40M |
| 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) |
10,973 |
8,634 |
$5.40M |
| H2011 |
Crisis intervention service, per 15 minutes |
7,449 |
6,082 |
$3.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,210 |
8,791 |
$3.03M |
| 99215 |
Prolong outpt/office vis |
3,098 |
2,857 |
$2.48M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
5,069 |
4,326 |
$2.17M |
| H0034 |
Medication training and support, per 15 minutes |
11,323 |
7,777 |
$2.06M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
2,528 |
207 |
$1.62M |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,477 |
5,240 |
$1.59M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
21,687 |
6,256 |
$1.37M |
| 99223 |
Prolong inpt eval add15 m |
617 |
597 |
$1.24M |
| T2024 |
Service assessment/plan of care development, waiver |
768 |
760 |
$990K |
| H0006 |
Alcohol and/or drug services; case management |
11,420 |
6,763 |
$936K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
636 |
619 |
$929K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,913 |
20,494 |
$862K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,845 |
263 |
$804K |
| 90791 |
Psychiatric diagnostic evaluation |
5,256 |
4,927 |
$698K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
1,489 |
1,446 |
$510K |
| T1001 |
Nursing assessment / evaluation |
3,131 |
2,493 |
$408K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,387 |
511 |
$383K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,189 |
631 |
$370K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,893 |
1,736 |
$320K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
545 |
542 |
$266K |
| H0038 |
Self-help/peer services, per 15 minutes |
612 |
151 |
$233K |
| 99205 |
Prolong outpt/office vis |
100 |
99 |
$165K |
| H0033 |
Oral medication administration, direct observation |
769 |
728 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,326 |
5,911 |
$66K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
518 |
495 |
$55K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,894 |
744 |
$53K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
28 |
$45K |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
261 |
71 |
$35K |
| 99443 |
|
46 |
45 |
$26K |
| H0031 |
Mental health assessment, by non-physician |
57 |
46 |
$17K |
| 96127 |
|
210 |
207 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
758 |
755 |
$11K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
44 |
13 |
$4K |
| 90785 |
|
223 |
215 |
$2K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,972 |
1,795 |
$2K |
| 99243 |
|
37 |
37 |
$1K |
| 59425 |
|
1,344 |
751 |
$530.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
261 |
261 |
$518.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
445 |
443 |
$502.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,782 |
1,752 |
$489.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,187 |
2,183 |
$462.89 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
164 |
164 |
$309.00 |
| 99242 |
|
26 |
26 |
$285.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
155 |
153 |
$282.92 |
| 90671 |
|
234 |
233 |
$207.45 |
| 81003 |
|
3,477 |
2,746 |
$162.14 |
| 82962 |
|
2,737 |
2,692 |
$157.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
326 |
320 |
$122.31 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
790 |
789 |
$117.87 |
| 85018 |
|
3,146 |
3,140 |
$83.48 |
| 90680 |
|
193 |
192 |
$75.60 |
| 90670 |
|
219 |
219 |
$75.60 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,019 |
1,019 |
$61.26 |
| 90744 |
|
73 |
73 |
$56.70 |
| 90698 |
|
139 |
139 |
$56.70 |
| 90686 |
|
1,527 |
1,526 |
$56.35 |
| 90633 |
|
208 |
208 |
$28.35 |
| 99000 |
|
547 |
513 |
$27.35 |
| 90621 |
|
45 |
45 |
$22.00 |
| 81025 |
|
111 |
109 |
$20.82 |
| 90651 |
|
309 |
309 |
$18.90 |
| 96156 |
|
54 |
54 |
$17.66 |
| 90697 |
|
160 |
159 |
$9.45 |
| 90619 |
|
273 |
273 |
$9.45 |
| 90715 |
|
213 |
213 |
$9.45 |
| 86580 |
|
148 |
147 |
$6.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
47 |
43 |
$0.33 |
| 3075F |
|
2,002 |
1,934 |
$0.00 |
| 92551 |
|
2,140 |
2,138 |
$0.00 |
| 3044F |
|
521 |
518 |
$0.00 |
| 1126F |
|
19,331 |
16,802 |
$0.00 |
| 3074F |
|
18,950 |
16,465 |
$0.00 |
| 90673 |
|
21 |
21 |
$0.00 |
| 3080F |
|
241 |
232 |
$0.00 |
| 3008F |
|
24,368 |
20,610 |
$0.00 |
| 3079F |
|
2,923 |
2,773 |
$0.00 |
| 1125F |
|
6,504 |
5,878 |
$0.00 |
| 90688 |
|
36 |
36 |
$0.00 |
| 4010F |
|
42 |
38 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| 3052F |
|
43 |
42 |
$0.00 |
| 99173 |
|
2,076 |
2,076 |
$0.00 |
| 3078F |
|
19,128 |
16,739 |
$0.00 |
| 3725F |
|
19,750 |
16,694 |
$0.00 |
| 90734 |
|
61 |
61 |
$0.00 |
| 3046F |
|
49 |
48 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
43 |
43 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
76 |
76 |
$0.00 |
| 3077F |
|
1,795 |
1,700 |
$0.00 |
| 90750 |
|
44 |
44 |
$0.00 |
| 3051F |
|
125 |
125 |
$0.00 |
| 1160F |
|
2,907 |
2,675 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
746 |
746 |
$0.00 |
| 90710 |
|
110 |
110 |
$0.00 |
| 1159F |
|
168 |
154 |
$0.00 |
| 0502F |
|
308 |
184 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 81002 |
|
30 |
30 |
$0.00 |
| 99401 |
|
24 |
24 |
$0.00 |
| G9920 |
Screening performed and negative |
22 |
21 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |