| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
480,853 |
227,647 |
$131.28M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
398,988 |
226,167 |
$100.85M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
328,341 |
112,932 |
$38.79M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
2,338,012 |
91,286 |
$35.10M |
| H2010 |
Comprehensive medication services, per 15 minutes |
95,509 |
85,493 |
$32.59M |
| T1017 |
Targeted case management, each 15 minutes |
149,822 |
89,718 |
$23.01M |
| H2013 |
Psychiatric health facility service, per diem |
7,285 |
2,644 |
$22.83M |
| 90837 |
Psychotherapy, 53 minutes with patient |
50,042 |
31,886 |
$14.55M |
| 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 |
67,276 |
4,631 |
$11.74M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
132,152 |
24,724 |
$10.58M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
5,973 |
1,935 |
$9.52M |
| H0032 |
Mental health service plan development by non-physician |
31,707 |
25,373 |
$6.81M |
| H0034 |
Medication training and support, per 15 minutes |
34,355 |
26,572 |
$6.42M |
| 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) |
25,826 |
19,608 |
$6.03M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
19,820 |
17,048 |
$3.88M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
9,870 |
2,254 |
$2.65M |
| 90834 |
Psychotherapy, 45 minutes with patient |
10,975 |
9,118 |
$2.44M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
7,662 |
5,966 |
$1.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,307 |
3,176 |
$1.55M |
| H0031 |
Mental health assessment, by non-physician |
3,189 |
2,751 |
$1.55M |
| S9484 |
Crisis intervention mental health services, per hour |
595 |
514 |
$1.51M |
| T2024 |
Service assessment/plan of care development, waiver |
1,914 |
1,893 |
$1.22M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
3,102 |
2,512 |
$1.14M |
| S5000 |
Prescription drug, generic |
35,173 |
1,621 |
$1.07M |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,171 |
5,253 |
$910K |
| S5001 |
Prescription drug, brand name |
7,315 |
3,964 |
$613K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
1,485 |
1,450 |
$399K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,122 |
1,082 |
$371K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
1,977 |
1,096 |
$336K |
| 90791 |
Psychiatric diagnostic evaluation |
3,088 |
2,473 |
$223K |
| H2000 |
Comprehensive multidisciplinary evaluation |
1,335 |
1,190 |
$221K |
| 99607 |
|
1,038 |
888 |
$187K |
| 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 |
1,548 |
241 |
$174K |
| H0001 |
Alcohol and/or drug assessment |
335 |
318 |
$140K |
| H0038 |
Self-help/peer services, per 15 minutes |
648 |
249 |
$138K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,125 |
967 |
$132K |
| 99606 |
|
797 |
683 |
$106K |
| H0033 |
Oral medication administration, direct observation |
1,057 |
890 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
462 |
453 |
$73K |
| H0006 |
Alcohol and/or drug services; case management |
535 |
307 |
$60K |
| 99215 |
Prolong outpt/office vis |
181 |
169 |
$47K |
| 99366 |
|
139 |
127 |
$45K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
826 |
179 |
$44K |
| H0049 |
Alcohol and/or drug screening |
3,779 |
3,720 |
$40K |
| 99368 |
|
84 |
64 |
$27K |
| 99605 |
|
150 |
133 |
$19K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
548 |
545 |
$13K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
548 |
545 |
$12K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
500 |
495 |
$11K |
| 86780 |
|
510 |
499 |
$11K |
| H2011 |
Crisis intervention service, per 15 minutes |
43 |
38 |
$7K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
74 |
18 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
449 |
426 |
$6K |
| 86480 |
|
65 |
65 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
144 |
42 |
$3K |
| 90686 |
|
60 |
60 |
$1K |
| 90715 |
|
109 |
109 |
$1K |
| 90651 |
|
102 |
102 |
$773.86 |
| 90734 |
|
91 |
91 |
$756.00 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
58 |
58 |
$614.64 |
| 90713 |
|
13 |
13 |
$587.62 |
| 90688 |
|
47 |
47 |
$473.86 |
| 90633 |
|
32 |
32 |
$456.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
40 |
40 |
$375.94 |
| 90723 |
|
16 |
16 |
$260.18 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
45 |
36 |
$186.83 |
| 90707 |
|
22 |
22 |
$178.00 |
| 90710 |
|
29 |
29 |
$147.27 |
| 90716 |
|
18 |
18 |
$139.09 |
| 90696 |
|
17 |
17 |
$138.27 |
| 90648 |
|
15 |
15 |
$36.00 |
| 90670 |
|
13 |
13 |
$27.00 |