| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
49,718 |
20,008 |
$13.40M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
44,051 |
16,837 |
$10.70M |
| 90837 |
Psychotherapy, 53 minutes with patient |
24,940 |
12,215 |
$10.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,471 |
4,081 |
$3.26M |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,564 |
5,919 |
$2.70M |
| 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) |
7,627 |
5,178 |
$2.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,539 |
3,360 |
$1.94M |
| 99215 |
Prolong outpt/office vis |
2,543 |
2,402 |
$1.88M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,183 |
485 |
$1.82M |
| H2011 |
Crisis intervention service, per 15 minutes |
2,054 |
1,535 |
$1.68M |
| H0032 |
Mental health service plan development by non-physician |
5,651 |
4,869 |
$1.63M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,274 |
326 |
$1.15M |
| 99205 |
Prolong outpt/office vis |
821 |
820 |
$1.13M |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,614 |
3,380 |
$955K |
| 90839 |
|
2,427 |
2,111 |
$851K |
| H0038 |
Self-help/peer services, per 15 minutes |
3,625 |
1,871 |
$770K |
| T1001 |
Nursing assessment / evaluation |
1,855 |
1,782 |
$738K |
| H0034 |
Medication training and support, per 15 minutes |
2,926 |
2,621 |
$736K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,645 |
388 |
$690K |
| T2024 |
Service assessment/plan of care development, waiver |
611 |
602 |
$529K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
311 |
291 |
$511K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
932 |
917 |
$362K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
713 |
449 |
$360K |
| 99223 |
Prolong inpt eval add15 m |
145 |
143 |
$331K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
851 |
623 |
$294K |
| 99222 |
Initial hospital care, per day, moderate complexity |
153 |
149 |
$277K |
| 90791 |
Psychiatric diagnostic evaluation |
2,561 |
2,511 |
$274K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,393 |
1,226 |
$240K |
| 99221 |
|
151 |
139 |
$196K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
130 |
$179K |
| H0033 |
Oral medication administration, direct observation |
1,066 |
993 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
182 |
182 |
$174K |
| 90840 |
|
395 |
377 |
$119K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
208 |
198 |
$93K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
136 |
134 |
$54K |
| H0031 |
Mental health assessment, by non-physician |
79 |
79 |
$44K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,558 |
489 |
$38K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
313 |
196 |
$33K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
250 |
233 |
$27K |
| 99484 |
|
33 |
31 |
$22K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
286 |
233 |
$10K |
| 90785 |
|
16 |
16 |
$201.52 |
| 99443 |
|
12 |
12 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
694 |
288 |
$0.00 |
| 99451 |
|
18 |
17 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
39 |
20 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
38 |
38 |
$0.00 |
| 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 |
5,883 |
240 |
$0.00 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
264 |
69 |
$0.00 |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
2,396 |
108 |
$0.00 |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
33 |
33 |
$0.00 |