| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
153,833 |
46,333 |
$20.77M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
119,270 |
35,285 |
$16.76M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
466,168 |
44,410 |
$14.47M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
60,072 |
7,296 |
$8.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,252 |
24,627 |
$4.35M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
21,102 |
961 |
$3.42M |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
14,284 |
4,120 |
$3.37M |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,196 |
6,051 |
$2.83M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,330 |
10,971 |
$2.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,062 |
4,963 |
$746K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,478 |
790 |
$456K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,127 |
2,011 |
$445K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,577 |
1,636 |
$421K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,533 |
1,096 |
$409K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
2,632 |
756 |
$348K |
| H0001 |
Alcohol and/or drug assessment |
1,926 |
947 |
$256K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,796 |
846 |
$245K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,488 |
1,196 |
$203K |
| 90791 |
Psychiatric diagnostic evaluation |
1,139 |
448 |
$173K |
| H0038 |
Self-help/peer services, per 15 minutes |
975 |
351 |
$132K |
| G2078 |
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
2,757 |
1,073 |
$111K |
| T1016 |
Case management, each 15 minutes |
538 |
201 |
$73K |
| 99215 |
Prolong outpt/office vis |
533 |
425 |
$68K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
434 |
210 |
$59K |
| H0006 |
Alcohol and/or drug services; case management |
398 |
158 |
$58K |
| 99386 |
|
291 |
263 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
341 |
118 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
188 |
141 |
$28K |
| 99406 |
|
2,948 |
2,459 |
$26K |
| 90837 |
Psychotherapy, 53 minutes with patient |
178 |
54 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
142 |
127 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
85 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
299 |
217 |
$5K |
| 0011A |
|
176 |
176 |
$4K |
| 0012A |
|
143 |
143 |
$3K |
| 99385 |
|
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
64 |
$676.81 |
| 99072 |
|
565 |
437 |
$672.50 |
| 90756 |
|
24 |
24 |
$631.16 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$593.54 |
| 0013A |
|
20 |
20 |
$320.00 |
| 0124A |
|
16 |
16 |
$294.00 |
| 90658 |
|
15 |
15 |
$230.25 |
| 82962 |
|
109 |
97 |
$200.15 |
| 0002A |
|
23 |
23 |
$119.40 |
| 3008F |
|
5,506 |
4,290 |
$20.08 |
| 91312 |
|
13 |
13 |
$0.07 |
| 91301 |
|
368 |
363 |
$0.05 |
| 91300 |
|
99 |
94 |
$0.03 |
| 99080 |
|
284 |
199 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
14 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
56 |
51 |
$0.00 |
| 0001A |
|
17 |
17 |
$0.00 |