| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
33,478 |
9,758 |
$1.50M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
3,667 |
3,422 |
$1.46M |
| 99233 |
Prolong inpt eval add15 m |
15,326 |
7,550 |
$917K |
| 90834 |
Psychotherapy, 45 minutes with patient |
20,788 |
7,054 |
$857K |
| 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 |
3,665 |
97 |
$651K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
2,326 |
1,884 |
$380K |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
1,360 |
1,197 |
$325K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
3,131 |
2,451 |
$285K |
| 99223 |
Prolong inpt eval add15 m |
1,596 |
1,432 |
$176K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
8,690 |
3,672 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,317 |
1,902 |
$140K |
| 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 |
967 |
178 |
$121K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,211 |
1,111 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,224 |
2,648 |
$100K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,156 |
951 |
$94K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,974 |
2,407 |
$89K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,346 |
1,262 |
$87K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
1,385 |
1,258 |
$79K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
493 |
460 |
$35K |
| 99310 |
Prolong nursin fac eval 15m |
357 |
105 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
526 |
285 |
$17K |
| 99221 |
|
243 |
232 |
$15K |
| 96131 |
|
135 |
116 |
$13K |
| 96152 |
|
356 |
106 |
$13K |
| 96130 |
|
165 |
144 |
$12K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
292 |
234 |
$11K |
| Q3014 |
Telehealth originating site facility fee |
1,567 |
502 |
$10K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
365 |
226 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
140 |
62 |
$9K |
| J0571 |
Buprenorphine, oral, 1 mg |
284 |
129 |
$6K |
| H0001 |
Alcohol and/or drug assessment |
30 |
30 |
$6K |
| 96101 |
|
76 |
56 |
$5K |
| 96137 |
|
105 |
92 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
64 |
56 |
$2K |
| 96136 |
|
120 |
106 |
$2K |
| 96158 |
|
34 |
13 |
$929.97 |
| 90832 |
Psychotherapy, 30 minutes with patient |
19 |
15 |
$835.71 |
| 96159 |
|
32 |
12 |
$374.94 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
25 |
22 |
$253.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
19 |
$0.00 |
| 99254 |
|
33 |
32 |
$0.00 |