| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
543,347 |
485,155 |
$83.25M |
| H0037 |
Community psychiatric supportive treatment program, per diem |
872,013 |
92,416 |
$75.66M |
| 90837 |
Psychotherapy, 53 minutes with patient |
219,889 |
98,152 |
$18.16M |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
219,585 |
18,840 |
$18.05M |
| G9002 |
Coordinated care fee, maintenance rate |
158,246 |
17,907 |
$11.78M |
| 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 |
109,550 |
18,281 |
$9.97M |
| H2012 |
Behavioral health day treatment, per hour |
67,255 |
9,550 |
$9.22M |
| H2033 |
Multisystemic therapy for juveniles, per 15 minutes |
62,003 |
4,562 |
$8.12M |
| H2015 |
Comprehensive community support services, per 15 minutes |
114,417 |
33,425 |
$6.53M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
80,945 |
22,830 |
$4.19M |
| 90834 |
Psychotherapy, 45 minutes with patient |
104,165 |
49,142 |
$4.17M |
| 90791 |
Psychiatric diagnostic evaluation |
63,608 |
53,762 |
$3.87M |
| T1017 |
Targeted case management, each 15 minutes |
101,348 |
50,441 |
$3.24M |
| H2016 |
Comprehensive community support services, per diem |
38,047 |
3,431 |
$3.11M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
29,103 |
6,690 |
$2.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72,510 |
59,531 |
$2.92M |
| H0031 |
Mental health assessment, by non-physician |
28,241 |
19,978 |
$2.09M |
| T2023 |
Targeted case management; per month |
2,262 |
1,703 |
$1.98M |
| H2022 |
Community-based wrap-around services, per diem |
6,900 |
746 |
$1.98M |
| 90832 |
Psychotherapy, 30 minutes with patient |
59,131 |
30,447 |
$1.81M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
30,618 |
19,451 |
$1.78M |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
27,345 |
16,579 |
$1.72M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
15,969 |
2,094 |
$1.30M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
9,710 |
1,305 |
$1.27M |
| T1002 |
Rn services, up to 15 minutes |
17,421 |
15,102 |
$895K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,056 |
10,857 |
$859K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
8,799 |
7,781 |
$847K |
| S5145 |
Foster care, therapeutic, child; per diem |
7,153 |
322 |
$675K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
13,690 |
11,622 |
$657K |
| H0032 |
Mental health service plan development by non-physician |
17,087 |
14,386 |
$511K |
| H2011 |
Crisis intervention service, per 15 minutes |
4,761 |
2,325 |
$366K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
2,224 |
829 |
$306K |
| H2020 |
Therapeutic behavioral services, per diem |
108 |
100 |
$247K |
| H0038 |
Self-help/peer services, per 15 minutes |
7,813 |
2,387 |
$223K |
| 99215 |
Prolong outpt/office vis |
2,449 |
2,042 |
$171K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
10,528 |
3,137 |
$156K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
4,064 |
1,709 |
$147K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
2,031 |
355 |
$128K |
| 90785 |
|
8,003 |
6,725 |
$80K |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
726 |
39 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,483 |
2,062 |
$58K |
| Q3014 |
Telehealth originating site facility fee |
852 |
823 |
$20K |
| T2025 |
Waiver services; not otherwise specified (nos) |
43 |
14 |
$6K |
| 97156 |
|
41 |
24 |
$2K |
| 97151 |
|
21 |
12 |
$2K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
254,120 |
181,274 |
$176.98 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
276,893 |
220,636 |
$176.84 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
80,713 |
64,533 |
$0.08 |
| G9006 |
Coordinated care fee, home monitoring |
52,103 |
42,636 |
$0.02 |
| G9007 |
Coordinated care fee, scheduled team conference |
8,809 |
7,875 |
$0.01 |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
15,375 |
13,348 |
$0.01 |
| 90836 |
|
291 |
276 |
$0.00 |