| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
362,463 |
147,217 |
$53.00M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
2,963,374 |
112,530 |
$45.58M |
| 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 |
258,446 |
14,716 |
$42.71M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
224,232 |
38,578 |
$12.86M |
| H0006 |
Alcohol and/or drug services; case management |
26,891 |
15,198 |
$4.16M |
| S5000 |
Prescription drug, generic |
50,576 |
2,533 |
$1.53M |
| T1017 |
Targeted case management, each 15 minutes |
5,255 |
2,472 |
$1.50M |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
4,285 |
3,135 |
$1.36M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
4,903 |
1,057 |
$879K |
| S5001 |
Prescription drug, brand name |
26,537 |
1,086 |
$871K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
3,319 |
1,119 |
$775K |
| H0001 |
Alcohol and/or drug assessment |
2,054 |
2,033 |
$375K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
978 |
835 |
$307K |
| H0007 |
Alcohol and/or drug services; crisis intervention (outpatient) |
264 |
229 |
$84K |
| 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 |
1,910 |
409 |
$79K |
| H2035 |
Alcohol and/or other drug treatment program, per hour |
162 |
79 |
$53K |
| H2027 |
Psychoeducational service, per 15 minutes |
100 |
100 |
$31K |
| H2014 |
Skills training and development, per 15 minutes |
49 |
49 |
$28K |
| 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) |
161 |
149 |
$26K |
| 90885 |
|
644 |
505 |
$19K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
113 |
36 |
$19K |
| H0049 |
Alcohol and/or drug screening |
15 |
15 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
25 |
$5K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
15 |
15 |
$2K |