| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
70,318 |
21,969 |
$6.55M |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
68,775 |
43,912 |
$992K |
| H0031 |
Mental health assessment, by non-physician |
6,347 |
5,429 |
$929K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
38,333 |
24,272 |
$921K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,997 |
4,499 |
$322K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,504 |
1,768 |
$281K |
| 99358 |
Prolong nursin fac eval 15m |
11,461 |
11,024 |
$221K |
| 99484 |
|
24,651 |
22,369 |
$180K |
| 99451 |
|
26,724 |
24,616 |
$176K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,689 |
4,181 |
$161K |
| 99310 |
Prolong nursin fac eval 15m |
10,461 |
8,245 |
$130K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
4,569 |
4,255 |
$127K |
| 99452 |
|
16,930 |
15,442 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,069 |
1,802 |
$75K |
| 99215 |
Prolong outpt/office vis |
792 |
699 |
$54K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
922 |
724 |
$28K |
| 99305 |
|
710 |
648 |
$28K |
| 99483 |
Prolong outpt/office vis |
648 |
562 |
$27K |
| G0317 |
Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) |
3,294 |
2,844 |
$21K |
| 99424 |
|
572 |
562 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
181 |
112 |
$14K |
| 99306 |
Prolong nursin fac eval 15m |
352 |
333 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
558 |
137 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
189 |
179 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
300 |
75 |
$9K |
| 96132 |
|
287 |
260 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
326 |
87 |
$6K |
| 99205 |
Prolong outpt/office vis |
29 |
29 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
909 |
608 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
82 |
76 |
$2K |
| 96133 |
|
59 |
55 |
$2K |
| 99243 |
|
18 |
17 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
18 |
13 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
134 |
73 |
$2K |
| 96138 |
|
212 |
194 |
$2K |
| 99443 |
|
88 |
88 |
$1K |
| 96116 |
|
76 |
67 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$767.12 |
| 96127 |
|
188 |
148 |
$599.00 |
| 96121 |
|
58 |
54 |
$581.75 |
| 99307 |
|
24 |
21 |
$279.98 |
| 96136 |
|
63 |
55 |
$233.52 |
| 90832 |
Psychotherapy, 30 minutes with patient |
19 |
12 |
$193.60 |
| 96137 |
|
58 |
54 |
$171.00 |
| G0323 |
Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team) |
2,286 |
1,250 |
$32.58 |