| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
2,884,496 |
155,197 |
$553.96M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,572,012 |
505,021 |
$188.21M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
1,623,733 |
203,179 |
$108.48M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
7,020,805 |
276,149 |
$103.05M |
| H0006 |
Alcohol and/or drug services; case management |
1,166,081 |
255,743 |
$88.02M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
114,832 |
20,804 |
$35.13M |
| 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 |
470,743 |
56,311 |
$28.82M |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
17,834 |
14,135 |
$5.34M |
| T1017 |
Targeted case management, each 15 minutes |
38,308 |
12,000 |
$4.73M |
| H0001 |
Alcohol and/or drug assessment |
8,564 |
6,803 |
$4.02M |
| H2015 |
Comprehensive community support services, per 15 minutes |
6,758 |
2,685 |
$1.20M |
| H2014 |
Skills training and development, per 15 minutes |
11,207 |
2,426 |
$1.15M |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
10,601 |
2,659 |
$901K |
| S5000 |
Prescription drug, generic |
27,384 |
1,754 |
$836K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
3,026 |
1,269 |
$678K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
719 |
361 |
$277K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
11,384 |
2,045 |
$228K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,309 |
885 |
$188K |
| T1006 |
Alcohol and/or substance abuse services, family/couple counseling |
836 |
380 |
$151K |
| H0049 |
Alcohol and/or drug screening |
1,601 |
1,115 |
$134K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
684 |
178 |
$125K |
| H2010 |
Comprehensive medication services, per 15 minutes |
499 |
342 |
$107K |
| H0033 |
Oral medication administration, direct observation |
594 |
84 |
$69K |
| H0034 |
Medication training and support, per 15 minutes |
188 |
151 |
$57K |
| H2027 |
Psychoeducational service, per 15 minutes |
163 |
154 |
$50K |
| 90885 |
|
297 |
283 |
$22K |
| H0007 |
Alcohol and/or drug services; crisis intervention (outpatient) |
31 |
28 |
$9K |
| 90889 |
|
45 |
45 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
38 |
38 |
$2K |
| 96160 |
|
63 |
63 |
$307.29 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
340 |
294 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
144 |
144 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
68 |
67 |
$0.00 |
| 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) |
4,077 |
1,432 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
75 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
50 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
67 |
65 |
$0.00 |