| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
10,795 |
10,516 |
$33.67M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
88,740 |
47,367 |
$10.45M |
| G9006 |
Coordinated care fee, home monitoring |
1,664 |
1,329 |
$9.16M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
145,941 |
36,980 |
$8.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85,274 |
73,614 |
$8.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111,833 |
95,810 |
$7.99M |
| 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 |
1,956 |
1,472 |
$7.34M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
2,213 |
1,885 |
$4.09M |
| T1016 |
Case management, each 15 minutes |
17,453 |
9,533 |
$1.82M |
| H0038 |
Self-help/peer services, per 15 minutes |
11,021 |
5,207 |
$614K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
25,831 |
15,450 |
$614K |
| 97810 |
|
22,292 |
13,779 |
$479K |
| H2010 |
Comprehensive medication services, per 15 minutes |
4,747 |
4,127 |
$395K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,979 |
5,195 |
$320K |
| 99215 |
Prolong outpt/office vis |
1,583 |
1,432 |
$202K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
4,197 |
1,689 |
$190K |
| 96152 |
|
1,118 |
794 |
$187K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,737 |
1,702 |
$162K |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
112 |
103 |
$109K |
| 80305 |
|
12,590 |
11,388 |
$103K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
523 |
503 |
$82K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
1,257 |
513 |
$62K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,523 |
1,511 |
$56K |
| H0001 |
Alcohol and/or drug assessment |
378 |
371 |
$55K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
243 |
243 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
431 |
405 |
$51K |
| H0031 |
Mental health assessment, by non-physician |
308 |
305 |
$46K |
| 90832 |
Psychotherapy, 30 minutes with patient |
488 |
397 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,377 |
1,871 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,717 |
1,673 |
$38K |
| 90834 |
Psychotherapy, 45 minutes with patient |
473 |
380 |
$37K |
| 96158 |
|
599 |
429 |
$34K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
613 |
576 |
$27K |
| 90674 |
|
1,175 |
1,129 |
$24K |
| H2014 |
Skills training and development, per 15 minutes |
350 |
171 |
$21K |
| 0011A |
|
339 |
324 |
$21K |
| H0006 |
Alcohol and/or drug services; case management |
588 |
224 |
$19K |
| 0012A |
|
298 |
294 |
$18K |
| 0064A |
|
346 |
341 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
185 |
179 |
$17K |
| 90837 |
Psychotherapy, 53 minutes with patient |
190 |
141 |
$17K |
| H0034 |
Medication training and support, per 15 minutes |
187 |
146 |
$12K |
| 90673 |
|
171 |
171 |
$11K |
| 99442 |
|
779 |
513 |
$11K |
| 97597 |
|
160 |
88 |
$11K |
| 90688 |
|
460 |
431 |
$7K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
76,469 |
36,242 |
$5K |
| 99443 |
|
336 |
208 |
$5K |
| 96159 |
|
286 |
211 |
$5K |
| 0124A |
|
136 |
134 |
$4K |
| 96156 |
|
66 |
65 |
$4K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,131 |
703 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
26 |
$4K |
| 90899 |
|
140 |
71 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
27 |
$3K |
| 96150 |
|
12 |
12 |
$2K |
| 99417 |
Prolong home eval add 15m |
31 |
29 |
$2K |
| 0031A |
|
14 |
14 |
$1K |
| 82962 |
|
323 |
284 |
$696.07 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$172.80 |
| H2032 |
Activity therapy, per 15 minutes |
12 |
12 |
$154.08 |
| 99441 |
|
14 |
12 |
$118.13 |
| H2023 |
Supported employment, per 15 minutes |
1,277 |
653 |
$103.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$91.44 |
| 99000 |
|
213 |
192 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
72 |
66 |
$0.00 |
| 99051 |
|
93 |
85 |
$0.00 |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
51 |
49 |
$0.00 |