| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
127,388 |
69,665 |
$23.55M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
16,339 |
1,021 |
$6.78M |
| H0017 |
Behavioral health; residential (hospital residential treatment program), without room and board, per diem |
9,877 |
2,279 |
$5.14M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
11,348 |
3,542 |
$3.48M |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
31,415 |
28,392 |
$3.18M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
40,536 |
11,097 |
$2.86M |
| H2014 |
Skills training and development, per 15 minutes |
22,864 |
6,771 |
$2.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,995 |
16,191 |
$2.81M |
| H2011 |
Crisis intervention service, per 15 minutes |
17,996 |
11,237 |
$2.57M |
| T1017 |
Targeted case management, each 15 minutes |
53,714 |
28,068 |
$2.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,282 |
18,343 |
$1.63M |
| H2031 |
Mental health clubhouse services, per diem |
10,483 |
2,517 |
$1.43M |
| 90791 |
Psychiatric diagnostic evaluation |
8,050 |
7,155 |
$1.37M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
6,002 |
982 |
$1.36M |
| 90837 |
Psychotherapy, 53 minutes with patient |
9,344 |
5,448 |
$1.04M |
| S5151 |
Unskilled respite care, not hospice; per diem |
6,879 |
928 |
$990K |
| H2030 |
Mental health clubhouse services, per 15 minutes |
22,076 |
5,085 |
$947K |
| 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) |
9,883 |
1,938 |
$904K |
| 90834 |
Psychotherapy, 45 minutes with patient |
26,544 |
15,491 |
$894K |
| H0031 |
Mental health assessment, by non-physician |
5,094 |
4,502 |
$827K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
8,289 |
4,849 |
$742K |
| H0038 |
Self-help/peer services, per 15 minutes |
8,542 |
3,106 |
$712K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,316 |
3,004 |
$591K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
10,048 |
1,937 |
$493K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,647 |
5,510 |
$446K |
| H2033 |
Multisystemic therapy for juveniles, per 15 minutes |
2,130 |
498 |
$420K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
13,985 |
4,751 |
$384K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
14,183 |
11,725 |
$368K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
9,481 |
1,903 |
$300K |
| H0006 |
Alcohol and/or drug services; case management |
7,280 |
4,089 |
$276K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
6,229 |
3,197 |
$251K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
10,912 |
4,918 |
$244K |
| H0001 |
Alcohol and/or drug assessment |
1,142 |
990 |
$208K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
8,878 |
1,839 |
$157K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,991 |
2,217 |
$57K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
741 |
514 |
$49K |
| 97537 |
|
227 |
96 |
$49K |
| H0034 |
Medication training and support, per 15 minutes |
667 |
572 |
$48K |
| 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 |
233 |
12 |
$47K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
29 |
26 |
$34K |
| H2023 |
Supported employment, per 15 minutes |
1,361 |
597 |
$18K |
| 90785 |
|
308 |
166 |
$4K |
| 99442 |
|
153 |
146 |
$1K |
| 99443 |
|
17 |
15 |
$1K |
| H2032 |
Activity therapy, per 15 minutes |
27 |
24 |
$886.00 |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
236 |
79 |
$0.00 |
| A0999 |
Unlisted ambulance service |
56 |
32 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
56 |
32 |
$0.00 |