| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
158,240 |
38,470 |
$29.03M |
| H2015 |
Comprehensive community support services, per 15 minutes |
106,854 |
33,793 |
$26.94M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
184,873 |
61,849 |
$20.76M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
1,034,732 |
40,230 |
$15.91M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
32,780 |
2,499 |
$15.83M |
| 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 |
76,216 |
4,343 |
$13.24M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
166,676 |
25,421 |
$10.26M |
| T1017 |
Targeted case management, each 15 minutes |
67,179 |
28,345 |
$10.08M |
| H0034 |
Medication training and support, per 15 minutes |
31,672 |
13,343 |
$5.41M |
| 90837 |
Psychotherapy, 53 minutes with patient |
14,409 |
7,289 |
$4.29M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
11,177 |
1,498 |
$3.81M |
| S9484 |
Crisis intervention mental health services, per hour |
701 |
463 |
$3.67M |
| H2011 |
Crisis intervention service, per 15 minutes |
9,310 |
5,319 |
$3.63M |
| 99215 |
Prolong outpt/office vis |
4,785 |
4,357 |
$3.26M |
| H2010 |
Comprehensive medication services, per 15 minutes |
8,996 |
6,116 |
$2.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,182 |
3,733 |
$2.06M |
| H0032 |
Mental health service plan development by non-physician |
14,953 |
10,377 |
$2.04M |
| S5000 |
Prescription drug, generic |
52,366 |
2,105 |
$1.55M |
| 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) |
5,796 |
3,906 |
$1.50M |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,676 |
2,456 |
$836K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,695 |
1,492 |
$556K |
| H0006 |
Alcohol and/or drug services; case management |
6,513 |
3,831 |
$555K |
| T1001 |
Nursing assessment / evaluation |
3,257 |
2,869 |
$481K |
| H0033 |
Oral medication administration, direct observation |
4,160 |
2,021 |
$446K |
| 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 |
6,589 |
672 |
$437K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,524 |
793 |
$371K |
| H0038 |
Self-help/peer services, per 15 minutes |
3,918 |
2,082 |
$340K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
870 |
366 |
$333K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
1,479 |
347 |
$331K |
| T2024 |
Service assessment/plan of care development, waiver |
447 |
400 |
$312K |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
1,782 |
374 |
$238K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,635 |
1,156 |
$234K |
| 90791 |
Psychiatric diagnostic evaluation |
2,318 |
1,910 |
$225K |
| 99205 |
Prolong outpt/office vis |
204 |
200 |
$178K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,312 |
1,175 |
$154K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
558 |
527 |
$147K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
3,034 |
411 |
$140K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
806 |
708 |
$134K |
| 99415 |
Prolong outpt/office vis |
103 |
97 |
$107K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
144 |
62 |
$83K |
| 99367 |
|
108 |
65 |
$83K |
| H0001 |
Alcohol and/or drug assessment |
366 |
197 |
$82K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
730 |
277 |
$60K |
| H0049 |
Alcohol and/or drug screening |
128 |
122 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
182 |
90 |
$53K |
| 96127 |
|
247 |
240 |
$34K |
| 99222 |
Initial hospital care, per day, moderate complexity |
19 |
17 |
$21K |
| H2000 |
Comprehensive multidisciplinary evaluation |
75 |
26 |
$14K |
| H0031 |
Mental health assessment, by non-physician |
86 |
82 |
$12K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
217 |
183 |
$10K |
| G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) |
21 |
15 |
$9K |
| 99484 |
|
33 |
33 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
51 |
51 |
$6K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
62 |
26 |
$4K |
| 90889 |
|
153 |
126 |
$3K |
| 90885 |
|
312 |
195 |
$2K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
12 |
12 |
$1K |
| 90785 |
|
991 |
421 |
$33.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
49 |
15 |
$0.00 |