| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
415,487 |
326,176 |
$78.95M |
| 90837 |
Psychotherapy, 53 minutes with patient |
129,340 |
92,305 |
$21.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142,173 |
127,713 |
$12.67M |
| H0038 |
Self-help/peer services, per 15 minutes |
252,516 |
80,637 |
$10.32M |
| H0031 |
Mental health assessment, by non-physician |
63,232 |
55,560 |
$9.88M |
| H0032 |
Mental health service plan development by non-physician |
63,524 |
55,513 |
$9.55M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
40,170 |
39,875 |
$7.85M |
| H2011 |
Crisis intervention service, per 15 minutes |
31,322 |
7,043 |
$7.64M |
| 90832 |
Psychotherapy, 30 minutes with patient |
120,122 |
93,343 |
$7.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62,782 |
56,554 |
$6.91M |
| 90834 |
Psychotherapy, 45 minutes with patient |
55,637 |
47,182 |
$6.67M |
| H2023 |
Supported employment, per 15 minutes |
19,002 |
5,172 |
$5.68M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
21,965 |
2,810 |
$5.43M |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
56,925 |
47,299 |
$3.40M |
| T1001 |
Nursing assessment / evaluation |
26,152 |
26,072 |
$2.88M |
| 90791 |
Psychiatric diagnostic evaluation |
14,432 |
7,464 |
$2.62M |
| S9484 |
Crisis intervention mental health services, per hour |
5,950 |
1,071 |
$2.38M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
34,586 |
11,115 |
$1.27M |
| H2015 |
Comprehensive community support services, per 15 minutes |
32,244 |
10,887 |
$1.11M |
| H2014 |
Skills training and development, per 15 minutes |
28,821 |
6,953 |
$770K |
| T1016 |
Case management, each 15 minutes |
2,673 |
1,753 |
$742K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,205 |
8,676 |
$643K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29,724 |
25,982 |
$596K |
| 90839 |
|
4,744 |
3,084 |
$492K |
| 99215 |
Prolong outpt/office vis |
1,388 |
1,219 |
$175K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,169 |
1,146 |
$138K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,087 |
1,058 |
$128K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,425 |
1,402 |
$112K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
302 |
259 |
$105K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,813 |
1,719 |
$103K |
| T1002 |
Rn services, up to 15 minutes |
1,659 |
1,343 |
$91K |
| 99205 |
Prolong outpt/office vis |
399 |
382 |
$70K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
317 |
282 |
$43K |
| 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 |
437 |
67 |
$35K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
117 |
97 |
$30K |
| S5111 |
Home care training, family; per session |
124 |
85 |
$24K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
164 |
135 |
$23K |
| T2038 |
Community transition, waiver; per service |
12 |
12 |
$23K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
517 |
435 |
$20K |
| T2003 |
Non-emergency transportation; encounter/trip |
210 |
199 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
502 |
478 |
$17K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
427 |
180 |
$12K |
| 90756 |
|
315 |
311 |
$8K |
| H0046 |
Mental health services, not otherwise specified |
282 |
105 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
612 |
605 |
$7K |
| 82962 |
|
2,856 |
2,556 |
$6K |
| 99442 |
|
114 |
110 |
$5K |
| 99443 |
|
65 |
65 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
284 |
274 |
$4K |
| 90674 |
|
120 |
120 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
31 |
31 |
$3K |
| 99441 |
|
93 |
87 |
$3K |
| 96127 |
|
953 |
948 |
$2K |
| 99385 |
|
28 |
28 |
$2K |
| 72100 |
|
162 |
160 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
994 |
958 |
$2K |
| 90836 |
|
38 |
33 |
$2K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
111 |
111 |
$2K |
| 93000 |
|
227 |
222 |
$2K |
| 90661 |
|
66 |
66 |
$2K |
| 90840 |
|
17 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90658 |
|
85 |
85 |
$876.62 |
| 80305 |
|
45 |
45 |
$292.04 |
| 96160 |
|
139 |
138 |
$182.46 |
| 73562 |
|
12 |
12 |
$166.00 |
| 72040 |
|
13 |
13 |
$126.13 |
| 99406 |
|
12 |
12 |
$92.19 |