| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
21,224 |
13,519 |
$1.53M |
| H0031 |
Mental health assessment, by non-physician |
18,521 |
11,048 |
$1.25M |
| H2020 |
Therapeutic behavioral services, per diem |
5,763 |
1,110 |
$1.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,907 |
11,738 |
$859K |
| G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
7,759 |
2,768 |
$717K |
| H0032 |
Mental health service plan development by non-physician |
10,189 |
6,095 |
$701K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14,552 |
13,023 |
$605K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13,522 |
6,885 |
$508K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
4,828 |
3,798 |
$409K |
| T2023 |
Targeted case management; per month |
1,068 |
1,008 |
$329K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,754 |
4,807 |
$273K |
| 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 |
2,214 |
470 |
$240K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,284 |
3,478 |
$239K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,551 |
2,386 |
$225K |
| 90791 |
Psychiatric diagnostic evaluation |
2,144 |
2,084 |
$191K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,751 |
515 |
$110K |
| H0001 |
Alcohol and/or drug assessment |
1,495 |
482 |
$92K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,539 |
1,327 |
$63K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
393 |
379 |
$45K |
| 90785 |
|
4,822 |
2,806 |
$38K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
539 |
458 |
$29K |
| 80305 |
|
3,692 |
2,348 |
$29K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,031 |
819 |
$28K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
1,559 |
406 |
$27K |
| 90887 |
|
467 |
314 |
$16K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
227 |
31 |
$16K |
| 99354 |
|
225 |
128 |
$13K |
| 96112 |
|
64 |
41 |
$5K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
47 |
40 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
205 |
194 |
$2K |
| 96113 |
|
64 |
41 |
$2K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
32 |
27 |
$2K |
| H2015 |
Comprehensive community support services, per 15 minutes |
78 |
27 |
$679.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
40 |
$437.03 |
| 96127 |
|
328 |
229 |
$48.14 |
| 99355 |
|
43 |
36 |
$0.00 |