| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2013 |
Psychiatric health facility service, per diem |
10,513 |
658 |
$7.38M |
| T1017 |
Targeted case management, each 15 minutes |
26,940 |
10,299 |
$5.54M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
17,517 |
4,855 |
$3.33M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
2,410 |
206 |
$1.84M |
| H0034 |
Medication training and support, per 15 minutes |
9,458 |
5,659 |
$1.73M |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,402 |
2,373 |
$1.66M |
| 99443 |
|
2,510 |
2,299 |
$749K |
| 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) |
3,115 |
1,596 |
$710K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
25,308 |
1,645 |
$516K |
| 99215 |
Prolong outpt/office vis |
874 |
724 |
$484K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
7,111 |
1,814 |
$479K |
| H2011 |
Crisis intervention service, per 15 minutes |
743 |
432 |
$451K |
| H0032 |
Mental health service plan development by non-physician |
2,880 |
1,786 |
$396K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,285 |
1,148 |
$391K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,363 |
773 |
$330K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,338 |
485 |
$246K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
685 |
645 |
$229K |
| T2024 |
Service assessment/plan of care development, waiver |
203 |
122 |
$195K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,607 |
1,493 |
$194K |
| H2015 |
Comprehensive community support services, per 15 minutes |
703 |
392 |
$181K |
| 90791 |
Psychiatric diagnostic evaluation |
1,424 |
872 |
$141K |
| H0006 |
Alcohol and/or drug services; case management |
713 |
318 |
$120K |
| 99442 |
|
725 |
722 |
$120K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
540 |
501 |
$101K |
| T1001 |
Nursing assessment / evaluation |
195 |
178 |
$93K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
294 |
171 |
$67K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
261 |
116 |
$56K |
| 90832 |
Psychotherapy, 30 minutes with patient |
363 |
250 |
$50K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
2,809 |
408 |
$49K |
| H0031 |
Mental health assessment, by non-physician |
188 |
125 |
$42K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
175 |
129 |
$30K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
622 |
185 |
$29K |
| 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 |
65 |
12 |
$14K |
| S5000 |
Prescription drug, generic |
218 |
13 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
25 |
25 |
$5K |
| H0001 |
Alcohol and/or drug assessment |
29 |
25 |
$4K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
309 |
114 |
$3K |
| H0049 |
Alcohol and/or drug screening |
57 |
50 |
$3K |
| S5001 |
Prescription drug, brand name |
118 |
13 |
$1K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
30 |
13 |
$0.00 |