| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
319,406 |
140,968 |
$28.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
244,368 |
211,116 |
$19.01M |
| T1016 |
Case management, each 15 minutes |
524,950 |
264,548 |
$9.63M |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
102,125 |
89,590 |
$6.09M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
33,127 |
32,349 |
$6.02M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
384,658 |
250,388 |
$5.88M |
| H0031 |
Mental health assessment, by non-physician |
39,415 |
38,063 |
$4.62M |
| 90837 |
Psychotherapy, 53 minutes with patient |
34,319 |
17,304 |
$2.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,008 |
24,330 |
$1.85M |
| 90791 |
Psychiatric diagnostic evaluation |
7,091 |
6,998 |
$1.15M |
| H0001 |
Alcohol and/or drug assessment |
30,259 |
27,789 |
$753K |
| 99215 |
Prolong outpt/office vis |
5,184 |
4,558 |
$647K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,122 |
3,021 |
$424K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,281 |
1,248 |
$133K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,439 |
1,354 |
$131K |
| 96127 |
|
24,059 |
19,052 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
768 |
742 |
$74K |
| 99336 |
|
1,320 |
1,050 |
$67K |
| 96160 |
|
25,354 |
21,819 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
477 |
455 |
$51K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
456 |
447 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,271 |
1,900 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,156 |
1,009 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
464 |
421 |
$43K |
| 90836 |
|
496 |
470 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
331 |
309 |
$32K |
| H2027 |
Psychoeducational service, per 15 minutes |
1,691 |
916 |
$31K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
679 |
437 |
$29K |
| 90461 |
|
859 |
578 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
321 |
270 |
$14K |
| 99205 |
Prolong outpt/office vis |
63 |
63 |
$12K |
| 99310 |
Prolong nursin fac eval 15m |
272 |
180 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
548 |
289 |
$10K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
234 |
162 |
$8K |
| 99335 |
|
187 |
164 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,470 |
1,422 |
$6K |
| 99383 |
|
52 |
51 |
$6K |
| 80305 |
|
756 |
596 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
135 |
106 |
$5K |
| 99337 |
|
62 |
57 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
391 |
286 |
$5K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
454 |
328 |
$5K |
| 92551 |
|
397 |
351 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
132 |
$3K |
| 99401 |
|
103 |
78 |
$3K |
| 93000 |
|
104 |
97 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
29 |
22 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 90688 |
|
151 |
138 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 90686 |
|
144 |
108 |
$965.90 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
15 |
$907.34 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
35 |
16 |
$740.06 |
| 99173 |
|
280 |
259 |
$725.17 |
| 99443 |
|
20 |
14 |
$712.31 |
| 81002 |
|
107 |
97 |
$333.26 |
| 81025 |
|
38 |
37 |
$331.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$168.00 |
| 82962 |
|
38 |
36 |
$134.68 |
| 1036F |
|
11,761 |
9,379 |
$7.19 |
| 3008F |
|
9,316 |
7,080 |
$3.57 |
| 3725F |
|
3,808 |
3,243 |
$0.60 |
| 1035F |
|
15 |
15 |
$0.02 |
| 90785 |
|
811 |
615 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
396 |
357 |
$0.00 |
| 4004F |
|
235 |
201 |
$0.00 |
| 90670 |
|
49 |
41 |
$0.00 |
| G9920 |
Screening performed and negative |
99 |
65 |
$0.00 |
| 90710 |
|
14 |
13 |
$0.00 |
| 3078F |
|
34 |
28 |
$0.00 |
| 90734 |
|
18 |
12 |
$0.00 |
| 4035F |
|
53 |
32 |
$0.00 |
| 90633 |
|
17 |
12 |
$0.00 |
| 1034F |
|
893 |
540 |
$0.00 |
| 3074F |
|
32 |
27 |
$0.00 |
| G9921 |
No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified |
26 |
25 |
$0.00 |
| 90698 |
|
18 |
14 |
$0.00 |