| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
33,410 |
14,502 |
$4.86M |
| T1016 |
Case management, each 15 minutes |
76,804 |
33,367 |
$2.40M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
49,737 |
29,539 |
$1.38M |
| H0031 |
Mental health assessment, by non-physician |
4,712 |
4,589 |
$876K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,738 |
7,873 |
$871K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,845 |
3,414 |
$378K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,438 |
2,181 |
$187K |
| H0001 |
Alcohol and/or drug assessment |
2,289 |
2,128 |
$94K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
133 |
133 |
$39K |
| 90791 |
Psychiatric diagnostic evaluation |
126 |
126 |
$29K |
| 99215 |
Prolong outpt/office vis |
140 |
130 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
595 |
582 |
$19K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
393 |
240 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
133 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
234 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
60 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
69 |
$8K |
| 90461 |
|
128 |
124 |
$6K |
| 96160 |
|
1,340 |
1,155 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
37 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
21 |
$3K |
| 92551 |
|
168 |
161 |
$2K |
| 96127 |
|
199 |
187 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$403.55 |
| 99173 |
|
127 |
115 |
$327.36 |
| 90656 |
|
31 |
30 |
$262.56 |
| 90688 |
|
21 |
19 |
$132.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
22 |
$60.15 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$54.90 |
| 3725F |
|
191 |
166 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 90670 |
|
14 |
12 |
$0.00 |
| 3008F |
|
1,347 |
1,031 |
$0.00 |
| 1036F |
|
530 |
408 |
$0.00 |
| 1034F |
|
259 |
206 |
$0.00 |