| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
1,187,836 |
334,072 |
$327.77M |
| S9484 |
Crisis intervention mental health services, per hour |
55,594 |
42,688 |
$150.84M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
504,798 |
134,835 |
$139.73M |
| H2010 |
Comprehensive medication services, per 15 minutes |
303,345 |
159,428 |
$85.42M |
| T1017 |
Targeted case management, each 15 minutes |
302,767 |
121,829 |
$67.18M |
| H0032 |
Mental health service plan development by non-physician |
199,225 |
98,982 |
$49.94M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
2,583,632 |
101,422 |
$37.34M |
| H2013 |
Psychiatric health facility service, per diem |
11,124 |
1,750 |
$29.35M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
54,991 |
6,499 |
$28.84M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
273,964 |
112,779 |
$26.07M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
65,613 |
7,317 |
$21.58M |
| 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 |
104,914 |
5,558 |
$19.49M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
221,874 |
23,670 |
$19.33M |
| 90837 |
Psychotherapy, 53 minutes with patient |
40,018 |
13,942 |
$12.08M |
| H0034 |
Medication training and support, per 15 minutes |
37,860 |
25,319 |
$9.21M |
| H2011 |
Crisis intervention service, per 15 minutes |
15,995 |
3,790 |
$6.21M |
| 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) |
27,060 |
11,956 |
$5.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,767 |
6,490 |
$4.51M |
| 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 |
26,516 |
4,428 |
$3.55M |
| 99215 |
Prolong outpt/office vis |
4,319 |
2,996 |
$3.33M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
13,836 |
3,460 |
$2.95M |
| H0031 |
Mental health assessment, by non-physician |
7,323 |
3,318 |
$2.83M |
| H0006 |
Alcohol and/or drug services; case management |
16,658 |
8,107 |
$2.36M |
| 99233 |
Prolong inpt eval add15 m |
1,375 |
193 |
$2.19M |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,837 |
4,267 |
$2.16M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
4,849 |
2,060 |
$1.40M |
| H2012 |
Behavioral health day treatment, per hour |
13,481 |
1,181 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,665 |
2,010 |
$973K |
| 99607 |
|
3,691 |
2,749 |
$732K |
| 99606 |
|
4,063 |
2,976 |
$657K |
| 90791 |
Psychiatric diagnostic evaluation |
6,573 |
3,113 |
$510K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,928 |
1,510 |
$458K |
| T1001 |
Nursing assessment / evaluation |
2,406 |
1,752 |
$453K |
| S5001 |
Prescription drug, brand name |
8,359 |
1,045 |
$310K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,406 |
791 |
$207K |
| H0049 |
Alcohol and/or drug screening |
1,994 |
662 |
$192K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
1,230 |
663 |
$154K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
434 |
353 |
$131K |
| H0038 |
Self-help/peer services, per 15 minutes |
563 |
155 |
$114K |
| 99348 |
|
190 |
147 |
$91K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
650 |
512 |
$90K |
| H0033 |
Oral medication administration, direct observation |
413 |
314 |
$79K |
| H0001 |
Alcohol and/or drug assessment |
296 |
195 |
$77K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
212 |
191 |
$76K |
| 90885 |
|
303 |
243 |
$58K |
| 90840 |
|
89 |
30 |
$42K |
| 96130 |
|
102 |
27 |
$41K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,829 |
602 |
$37K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
168 |
165 |
$35K |
| 96137 |
|
40 |
12 |
$29K |
| 90839 |
|
93 |
30 |
$25K |
| 99484 |
|
23 |
22 |
$16K |
| S5000 |
Prescription drug, generic |
448 |
59 |
$14K |
| 96131 |
|
32 |
12 |
$14K |
| 99349 |
|
58 |
28 |
$13K |
| 90785 |
|
919 |
484 |
$11K |
| 96136 |
|
42 |
12 |
$8K |
| 96127 |
|
90 |
59 |
$5K |
| H2000 |
Comprehensive multidisciplinary evaluation |
23 |
20 |
$4K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
16 |
16 |
$2K |
| 99347 |
|
31 |
28 |
$352.32 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
368 |
147 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
40 |
17 |
$0.00 |
| 90838 |
|
37 |
19 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
22 |
22 |
$0.00 |