| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
114,688 |
68,577 |
$11.35M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
90,002 |
48,283 |
$10.25M |
| H0038 |
Self-help/peer services, per 15 minutes |
37,153 |
12,648 |
$4.53M |
| T2025 |
Waiver services; not otherwise specified (nos) |
29,638 |
5,658 |
$4.09M |
| H2015 |
Comprehensive community support services, per 15 minutes |
62,622 |
30,708 |
$3.01M |
| 90791 |
Psychiatric diagnostic evaluation |
17,683 |
17,343 |
$2.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,536 |
23,557 |
$2.24M |
| H0001 |
Alcohol and/or drug assessment |
5,531 |
5,170 |
$2.15M |
| 96165 |
|
13,595 |
3,437 |
$1.38M |
| 90834 |
Psychotherapy, 45 minutes with patient |
12,074 |
8,380 |
$1.16M |
| G9149 |
National committee for quality assurance - level 2 medical home |
3,681 |
3,612 |
$722K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
9,066 |
5,589 |
$701K |
| 96153 |
|
17,235 |
3,792 |
$688K |
| T1016 |
Case management, each 15 minutes |
12,208 |
4,377 |
$671K |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,149 |
7,309 |
$518K |
| H2023 |
Supported employment, per 15 minutes |
4,171 |
1,212 |
$397K |
| 96164 |
|
13,556 |
3,442 |
$330K |
| 99215 |
Prolong outpt/office vis |
1,844 |
1,674 |
$231K |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
2,857 |
107 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,799 |
1,584 |
$99K |
| H0046 |
Mental health services, not otherwise specified |
11,255 |
10,935 |
$96K |
| G9150 |
National committee for quality assurance - level 3 medical home |
1,152 |
1,122 |
$90K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
4,918 |
4,834 |
$84K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
994 |
312 |
$74K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
640 |
581 |
$57K |
| H0033 |
Oral medication administration, direct observation |
13,358 |
3,247 |
$51K |
| G9148 |
National committee for quality assurance - level 1 medical home |
142 |
142 |
$42K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
527 |
518 |
$39K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
4,108 |
2,528 |
$35K |
| T1001 |
Nursing assessment / evaluation |
358 |
350 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,311 |
963 |
$24K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,287 |
1,257 |
$23K |
| H2014 |
Skills training and development, per 15 minutes |
306 |
165 |
$21K |
| 99205 |
Prolong outpt/office vis |
490 |
482 |
$18K |
| 99335 |
|
176 |
157 |
$18K |
| H2011 |
Crisis intervention service, per 15 minutes |
32,834 |
14,521 |
$15K |
| 99443 |
|
283 |
258 |
$12K |
| 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 |
24,726 |
1,033 |
$10K |
| 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) |
156 |
146 |
$10K |
| 90785 |
|
431 |
271 |
$7K |
| 96127 |
|
4,224 |
3,821 |
$7K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
22,116 |
964 |
$6K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
603 |
527 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
28 |
$1K |
| H0034 |
Medication training and support, per 15 minutes |
55 |
47 |
$1K |
| 99442 |
|
19 |
18 |
$786.05 |
| 99075 |
|
378 |
340 |
$263.52 |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
3,284 |
1,501 |
$0.00 |
| S9485 |
Crisis intervention mental health services, per diem |
209 |
56 |
$0.00 |
| 99072 |
|
840 |
618 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
320 |
255 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
281 |
134 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
420 |
138 |
$0.00 |