| Code | Description | Claims | Beneficiaries | Total Paid |
| H2020 |
Therapeutic behavioral services, per diem |
16,935 |
15,499 |
$31.64M |
| 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 |
8,827 |
7,619 |
$27.15M |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
128,319 |
110,540 |
$21.45M |
| H0037 |
Community psychiatric supportive treatment program, per diem |
125,064 |
15,325 |
$11.16M |
| T2048 |
Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem |
516 |
505 |
$4.19M |
| 90837 |
Psychotherapy, 53 minutes with patient |
63,878 |
30,359 |
$4.07M |
| S5145 |
Foster care, therapeutic, child; per diem |
4,061 |
3,878 |
$2.59M |
| 90834 |
Psychotherapy, 45 minutes with patient |
62,485 |
32,352 |
$2.50M |
| G9002 |
Coordinated care fee, maintenance rate |
28,555 |
3,843 |
$1.94M |
| 90791 |
Psychiatric diagnostic evaluation |
30,150 |
24,409 |
$1.76M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
24,464 |
14,336 |
$1.25M |
| 90832 |
Psychotherapy, 30 minutes with patient |
39,483 |
19,642 |
$1.12M |
| 99215 |
Prolong outpt/office vis |
12,855 |
11,012 |
$998K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,142 |
13,476 |
$714K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,065 |
3,478 |
$277K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,750 |
5,920 |
$237K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
817 |
626 |
$41K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,379 |
452 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
87 |
$3K |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
10,137 |
7,791 |
$176.75 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
100,734 |
74,337 |
$0.03 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
26,649 |
21,371 |
$0.02 |
| G9007 |
Coordinated care fee, scheduled team conference |
711 |
434 |
$0.00 |
| 3074F |
|
308 |
308 |
$0.00 |
| G9006 |
Coordinated care fee, home monitoring |
4,151 |
3,537 |
$0.00 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
14,517 |
10,774 |
$0.00 |
| 3078F |
|
289 |
289 |
$0.00 |