| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
93,332 |
74,680 |
$19.56M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
58,910 |
27,618 |
$4.99M |
| T1016 |
Case management, each 15 minutes |
139,163 |
65,030 |
$4.32M |
| H0031 |
Mental health assessment, by non-physician |
11,182 |
10,170 |
$1.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,490 |
47,058 |
$1.09M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
4,513 |
434 |
$959K |
| H0038 |
Self-help/peer services, per 15 minutes |
12,844 |
4,171 |
$822K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,464 |
37,594 |
$777K |
| 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 |
1,939 |
367 |
$296K |
| S5110 |
Home care training, family; per 15 minutes |
8,715 |
3,951 |
$272K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
6,819 |
6,291 |
$202K |
| H2014 |
Skills training and development, per 15 minutes |
4,280 |
1,662 |
$173K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12,342 |
9,583 |
$170K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,127 |
1,070 |
$96K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
3,783 |
3,711 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,975 |
2,664 |
$83K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,782 |
1,186 |
$82K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
3,228 |
1,861 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,037 |
1,902 |
$59K |
| 90461 |
|
1,220 |
1,084 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
665 |
616 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
688 |
631 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
566 |
494 |
$43K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,783 |
1,159 |
$37K |
| H0034 |
Medication training and support, per 15 minutes |
1,049 |
380 |
$23K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
774 |
283 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,743 |
1,036 |
$17K |
| S9485 |
Crisis intervention mental health services, per diem |
16 |
12 |
$14K |
| 99442 |
|
442 |
419 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
387 |
363 |
$10K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
750 |
610 |
$9K |
| 96127 |
|
1,683 |
1,434 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
669 |
567 |
$6K |
| H2011 |
Crisis intervention service, per 15 minutes |
28 |
24 |
$6K |
| H2027 |
Psychoeducational service, per 15 minutes |
69 |
38 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
183 |
66 |
$6K |
| 92552 |
|
883 |
863 |
$5K |
| 85018 |
|
2,578 |
2,459 |
$5K |
| 85013 |
|
763 |
751 |
$5K |
| 96160 |
|
1,260 |
1,182 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
275 |
233 |
$4K |
| 99441 |
|
365 |
332 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
57 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
399 |
335 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
191 |
157 |
$3K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
209 |
98 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
425 |
308 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
193 |
173 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,887 |
2,605 |
$1K |
| 90686 |
|
409 |
332 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
73 |
$1K |
| 85014 |
|
484 |
476 |
$958.12 |
| 0071A |
|
21 |
21 |
$800.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$765.29 |
| 0072A |
|
21 |
21 |
$760.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$734.04 |
| 99177 |
|
130 |
121 |
$524.52 |
| 99385 |
|
15 |
15 |
$409.89 |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
24 |
21 |
$406.34 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
441 |
223 |
$338.16 |
| 80306 |
|
987 |
655 |
$216.00 |
| 94760 |
|
674 |
528 |
$208.68 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
67 |
61 |
$115.34 |
| 99173 |
|
678 |
652 |
$70.05 |
| 99000 |
|
51 |
46 |
$60.00 |
| 0011A |
|
84 |
84 |
$40.00 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
2,870 |
2,506 |
$19.49 |
| 36416 |
|
1,563 |
1,439 |
$16.61 |
| J2794 |
Injection, risperidone (risperdal consta), 0.5 mg |
354 |
181 |
$2.58 |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
226 |
148 |
$1.59 |
| 3080F |
|
16 |
14 |
$0.01 |
| 3074F |
|
13 |
12 |
$0.00 |
| 99406 |
|
740 |
492 |
$0.00 |
| 90647 |
|
40 |
40 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 0012A |
|
78 |
75 |
$0.00 |
| 82270 |
|
40 |
25 |
$0.00 |
| 90688 |
|
17 |
14 |
$0.00 |
| 96150 |
|
54 |
45 |
$0.00 |
| 90670 |
|
60 |
56 |
$0.00 |
| 3077F |
|
15 |
12 |
$0.00 |
| 3078F |
|
29 |
28 |
$0.00 |
| 0013A |
|
21 |
20 |
$0.00 |