| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97535 |
Self-care/home management training, each 15 minutes |
918,420 |
53,964 |
$120.29M |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
437,829 |
24,994 |
$80.80M |
| S5108 |
Home care training to home care client, per 15 minutes |
194,191 |
10,900 |
$23.53M |
| T2016 |
Habilitation, residential, waiver; per diem |
137,338 |
4,580 |
$22.61M |
| T2022 |
Case management, per month |
74,166 |
72,363 |
$19.97M |
| 90837 |
Psychotherapy, 53 minutes with patient |
240,482 |
131,084 |
$19.38M |
| H2020 |
Therapeutic behavioral services, per diem |
62,430 |
9,051 |
$10.43M |
| T2023 |
Targeted case management; per month |
34,998 |
31,076 |
$9.55M |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
76,672 |
76,008 |
$8.02M |
| 90887 |
|
92,024 |
57,106 |
$7.27M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
25,528 |
3,220 |
$5.56M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
80,888 |
5,390 |
$5.12M |
| 90834 |
Psychotherapy, 45 minutes with patient |
47,768 |
39,003 |
$2.79M |
| 90832 |
Psychotherapy, 30 minutes with patient |
62,882 |
47,201 |
$2.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,025 |
44,664 |
$1.97M |
| H0038 |
Self-help/peer services, per 15 minutes |
35,398 |
12,837 |
$1.11M |
| S9485 |
Crisis intervention mental health services, per diem |
5,220 |
1,341 |
$1.04M |
| H2015 |
Comprehensive community support services, per 15 minutes |
16,747 |
5,941 |
$1.03M |
| H2018 |
Psychosocial rehabilitation services, per diem |
10,226 |
772 |
$736K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
48,631 |
14,480 |
$734K |
| T1005 |
Respite care services, up to 15 minutes |
14,916 |
2,374 |
$711K |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
10,210 |
535 |
$570K |
| H2011 |
Crisis intervention service, per 15 minutes |
4,803 |
4,073 |
$490K |
| H0040 |
Assertive community treatment program, per diem |
795 |
652 |
$426K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,268 |
8,088 |
$419K |
| H0032 |
Mental health service plan development by non-physician |
4,828 |
4,467 |
$376K |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
6,083 |
191 |
$335K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,304 |
2,203 |
$312K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
2,041 |
539 |
$182K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
2,844 |
534 |
$157K |
| 99443 |
|
5,165 |
3,445 |
$121K |
| 98968 |
|
3,984 |
2,522 |
$91K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
623 |
327 |
$72K |
| 90791 |
Psychiatric diagnostic evaluation |
1,087 |
917 |
$71K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
2,085 |
513 |
$70K |
| 99215 |
Prolong outpt/office vis |
940 |
890 |
$52K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,481 |
1,207 |
$49K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
494 |
434 |
$37K |
| 99442 |
|
1,667 |
1,349 |
$27K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
253 |
13 |
$25K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
887 |
762 |
$23K |
| H0031 |
Mental health assessment, by non-physician |
252 |
228 |
$21K |
| 98967 |
|
1,066 |
856 |
$17K |
| 90785 |
|
3,854 |
3,289 |
$16K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
2,370 |
1,720 |
$14K |
| 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 |
219 |
12 |
$11K |
| 99354 |
|
62 |
52 |
$3K |
| 99201 |
|
337 |
311 |
$2K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
158 |
107 |
$2K |
| 99441 |
|
175 |
139 |
$1K |
| 98966 |
|
112 |
92 |
$1K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
40 |
25 |
$0.00 |