| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
119,987 |
40,512 |
$17.00M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
73,498 |
14,185 |
$5.09M |
| H2011 |
Crisis intervention service, per 15 minutes |
7,028 |
3,162 |
$2.76M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
19,745 |
8,939 |
$2.35M |
| 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) |
65,672 |
18,313 |
$1.97M |
| 90837 |
Psychotherapy, 53 minutes with patient |
15,866 |
12,230 |
$1.30M |
| T1017 |
Targeted case management, each 15 minutes |
51,344 |
29,040 |
$949K |
| S0311 |
Comprehensive management and care coordination for advanced illness, per calendar month |
5,251 |
2,287 |
$507K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
7,444 |
5,666 |
$501K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,078 |
11,264 |
$409K |
| H0038 |
Self-help/peer services, per 15 minutes |
6,547 |
2,274 |
$315K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,688 |
3,888 |
$264K |
| S5110 |
Home care training, family; per 15 minutes |
4,990 |
2,667 |
$221K |
| 90791 |
Psychiatric diagnostic evaluation |
1,806 |
1,725 |
$191K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,543 |
4,544 |
$162K |
| T2038 |
Community transition, waiver; per service |
1,606 |
1,041 |
$77K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
485 |
464 |
$71K |
| G9148 |
National committee for quality assurance - level 1 medical home |
942 |
519 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,492 |
2,258 |
$57K |
| G9150 |
National committee for quality assurance - level 3 medical home |
761 |
373 |
$39K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
401 |
381 |
$34K |
| Q3014 |
Telehealth originating site facility fee |
2,246 |
1,949 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
569 |
464 |
$3K |
| 99215 |
Prolong outpt/office vis |
66 |
59 |
$3K |
| S0221 |
Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes |
19 |
13 |
$2K |
| 99366 |
|
98 |
67 |
$1K |
| 90785 |
|
88 |
39 |
$146.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$113.22 |
| 90836 |
|
19 |
13 |
$83.28 |