| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
397,611 |
223,195 |
$20.90M |
| H0031 |
Mental health assessment, by non-physician |
74,556 |
68,804 |
$12.87M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
103,437 |
40,324 |
$8.24M |
| 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 |
26,838 |
5,369 |
$3.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,617 |
39,179 |
$3.28M |
| H2011 |
Crisis intervention service, per 15 minutes |
43,552 |
31,851 |
$1.54M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
8,944 |
8,544 |
$1.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,519 |
22,032 |
$1.31M |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,958 |
3,773 |
$1.21M |
| H2014 |
Skills training and development, per 15 minutes |
38,327 |
23,936 |
$1.01M |
| S5110 |
Home care training, family; per 15 minutes |
20,001 |
12,482 |
$831K |
| H0038 |
Self-help/peer services, per 15 minutes |
8,938 |
4,504 |
$385K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
32,376 |
26,978 |
$380K |
| H2016 |
Comprehensive community support services, per diem |
940 |
160 |
$330K |
| S0215 |
Non-emergency transportation; mileage, per mile |
9,676 |
5,342 |
$292K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
7,088 |
6,605 |
$193K |
| T1002 |
Rn services, up to 15 minutes |
4,775 |
4,158 |
$113K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
9,266 |
5,195 |
$96K |
| H2027 |
Psychoeducational service, per 15 minutes |
1,586 |
922 |
$73K |
| 90834 |
Psychotherapy, 45 minutes with patient |
581 |
426 |
$70K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,632 |
3,613 |
$60K |
| 99385 |
|
388 |
385 |
$41K |
| 90832 |
Psychotherapy, 30 minutes with patient |
346 |
278 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
595 |
547 |
$20K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
498 |
388 |
$19K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
333 |
304 |
$19K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
22,894 |
12,897 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
885 |
791 |
$12K |
| H0034 |
Medication training and support, per 15 minutes |
925 |
826 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,758 |
1,651 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
102 |
$8K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
347 |
201 |
$8K |
| 99215 |
Prolong outpt/office vis |
56 |
53 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
113 |
89 |
$5K |
| S9484 |
Crisis intervention mental health services, per hour |
265 |
126 |
$5K |
| H0001 |
Alcohol and/or drug assessment |
84 |
81 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
21 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
37 |
37 |
$2K |
| 0064A |
|
39 |
34 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
50 |
31 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
72 |
$1K |
| 93000 |
|
84 |
81 |
$1K |
| 0011A |
|
36 |
36 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
29 |
14 |
$1K |
| 90682 |
|
13 |
13 |
$816.80 |
| 0012A |
|
18 |
18 |
$523.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
12 |
$211.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$190.69 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
67 |
49 |
$106.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
76 |
69 |
$65.63 |
| 81002 |
|
18 |
16 |
$44.20 |
| 82962 |
|
28 |
24 |
$34.95 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$25.50 |
| G9920 |
Screening performed and negative |
159 |
159 |
$0.00 |
| 91301 |
|
39 |
36 |
$0.00 |