| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
379,815 |
196,775 |
$38.51M |
| T2023 |
Targeted case management; per month |
89,156 |
74,430 |
$24.53M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
80,622 |
7,562 |
$21.35M |
| 90834 |
Psychotherapy, 45 minutes with patient |
174,282 |
124,374 |
$12.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178,442 |
146,106 |
$10.85M |
| 90887 |
|
101,819 |
53,430 |
$10.32M |
| 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 |
71,096 |
13,257 |
$9.50M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
87,822 |
60,363 |
$8.96M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
45,408 |
6,491 |
$8.14M |
| 90832 |
Psychotherapy, 30 minutes with patient |
144,178 |
105,369 |
$6.74M |
| H0040 |
Assertive community treatment program, per diem |
7,577 |
5,830 |
$5.32M |
| H0009 |
Alcohol and/or drug services; acute detoxification (hospital inpatient) |
15,265 |
3,335 |
$4.06M |
| 90791 |
Psychiatric diagnostic evaluation |
37,796 |
33,614 |
$3.69M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
519,493 |
279,168 |
$3.44M |
| S9485 |
Crisis intervention mental health services, per diem |
8,304 |
1,370 |
$2.77M |
| H0038 |
Self-help/peer services, per 15 minutes |
101,010 |
23,353 |
$2.40M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
6,891 |
1,807 |
$2.30M |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
9,212 |
790 |
$2.25M |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
30,165 |
24,964 |
$2.19M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
87,302 |
29,539 |
$2.13M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
14,204 |
3,913 |
$1.98M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
7,400 |
942 |
$1.47M |
| H2015 |
Comprehensive community support services, per 15 minutes |
16,511 |
4,878 |
$1.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,408 |
28,161 |
$1.19M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
8,410 |
7,451 |
$1.15M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
25,943 |
14,005 |
$1.13M |
| 99354 |
|
17,117 |
6,776 |
$731K |
| H2011 |
Crisis intervention service, per 15 minutes |
3,981 |
3,284 |
$397K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
3,069 |
2,370 |
$323K |
| 96101 |
|
909 |
503 |
$305K |
| 99215 |
Prolong outpt/office vis |
3,379 |
2,786 |
$278K |
| H2020 |
Therapeutic behavioral services, per diem |
2,424 |
226 |
$250K |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
1,187 |
659 |
$171K |
| 80305 |
|
17,083 |
10,047 |
$165K |
| H0032 |
Mental health service plan development by non-physician |
1,848 |
1,503 |
$153K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,055 |
837 |
$140K |
| 82075 |
|
4,697 |
3,804 |
$110K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,729 |
1,738 |
$82K |
| H0006 |
Alcohol and/or drug services; case management |
1,492 |
362 |
$74K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,139 |
1,843 |
$71K |
| 96130 |
|
1,377 |
812 |
$69K |
| 96131 |
|
454 |
381 |
$65K |
| Q3014 |
Telehealth originating site facility fee |
6,293 |
5,338 |
$39K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
353 |
333 |
$36K |
| 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 |
228 |
12 |
$32K |
| 96139 |
|
384 |
314 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,074 |
2,413 |
$27K |
| 84703 |
|
3,738 |
2,698 |
$26K |
| 86328 |
|
1,387 |
752 |
$25K |
| 99355 |
|
442 |
236 |
$22K |
| 99243 |
|
167 |
162 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
482 |
336 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,313 |
1,141 |
$9K |
| 96137 |
|
181 |
70 |
$6K |
| 96138 |
|
450 |
367 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
209 |
163 |
$4K |
| 99173 |
|
87 |
70 |
$4K |
| 99205 |
Prolong outpt/office vis |
28 |
25 |
$3K |
| 96136 |
|
182 |
70 |
$3K |
| 94250 |
|
510 |
414 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
29 |
24 |
$2K |
| H0024 |
Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) |
18 |
14 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
304 |
201 |
$2K |
| 97167 |
|
27 |
26 |
$2K |
| 36416 |
|
1,099 |
893 |
$1K |
| 86803 |
|
60 |
54 |
$792.45 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
30 |
$471.24 |
| 99442 |
|
34 |
20 |
$393.55 |
| 98968 |
|
25 |
14 |
$349.64 |
| 83718 |
|
60 |
53 |
$335.26 |
| 81025 |
|
39 |
39 |
$318.22 |
| 92552 |
|
36 |
19 |
$220.32 |
| 84478 |
|
16 |
15 |
$82.15 |
| 82465 |
|
16 |
15 |
$62.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
45 |
$58.50 |
| S9128 |
Speech therapy, in the home, per diem |
218 |
56 |
$0.00 |
| S9131 |
Physical therapy; in the home, per diem |
142 |
36 |
$0.00 |
| S9129 |
Occupational therapy, in the home, per diem |
358 |
96 |
$0.00 |