| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
387,161 |
13,725 |
$39.63M |
| 90837 |
Psychotherapy, 53 minutes with patient |
217,283 |
114,792 |
$36.89M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
273,766 |
28,974 |
$25.46M |
| T1017 |
Targeted case management, each 15 minutes |
340,182 |
89,852 |
$24.62M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
168,055 |
7,150 |
$23.07M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
145,990 |
35,908 |
$20.93M |
| H2013 |
Psychiatric health facility service, per diem |
30,219 |
1,346 |
$12.92M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98,980 |
79,948 |
$12.54M |
| 90791 |
Psychiatric diagnostic evaluation |
36,732 |
32,232 |
$12.29M |
| H2014 |
Skills training and development, per 15 minutes |
89,566 |
21,460 |
$9.47M |
| H0038 |
Self-help/peer services, per 15 minutes |
81,118 |
11,817 |
$9.35M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
172,126 |
28,241 |
$7.84M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
139,866 |
30,499 |
$7.66M |
| H2027 |
Psychoeducational service, per 15 minutes |
20,556 |
1,957 |
$7.57M |
| T1001 |
Nursing assessment / evaluation |
85,725 |
41,269 |
$6.40M |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
100,838 |
21,505 |
$5.02M |
| 90834 |
Psychotherapy, 45 minutes with patient |
26,783 |
19,285 |
$3.90M |
| H0040 |
Assertive community treatment program, per diem |
3,858 |
2,559 |
$3.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,621 |
16,741 |
$3.34M |
| H0046 |
Mental health services, not otherwise specified |
18,630 |
6,662 |
$3.27M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
33,511 |
3,329 |
$3.10M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
12,916 |
8,505 |
$2.98M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
15,754 |
727 |
$2.89M |
| 90832 |
Psychotherapy, 30 minutes with patient |
30,807 |
21,672 |
$2.83M |
| H0006 |
Alcohol and/or drug services; case management |
44,794 |
11,681 |
$1.83M |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
11,320 |
7,961 |
$1.26M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,839 |
2,458 |
$572K |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
3,478 |
415 |
$434K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,629 |
1,985 |
$341K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,278 |
7,979 |
$261K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
1,615 |
1,264 |
$192K |
| H2000 |
Comprehensive multidisciplinary evaluation |
460 |
367 |
$165K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,004 |
2,026 |
$152K |
| 96130 |
|
226 |
200 |
$128K |
| H0031 |
Mental health assessment, by non-physician |
926 |
909 |
$115K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
890 |
639 |
$110K |
| 96136 |
|
188 |
176 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,590 |
1,296 |
$104K |
| 99080 |
|
1,673 |
1,503 |
$103K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
723 |
290 |
$87K |
| 82465 |
|
1,154 |
807 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
210 |
198 |
$13K |
| T2002 |
Non-emergency transportation; per diem |
1,704 |
674 |
$13K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
582 |
224 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,909 |
1,991 |
$11K |
| 90839 |
|
56 |
40 |
$11K |
| 96131 |
|
224 |
198 |
$8K |
| 99354 |
|
300 |
249 |
$8K |
| 85048 |
|
2,532 |
1,801 |
$5K |
| 99490 |
Ccm add 20min |
135 |
133 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
4,468 |
2,734 |
$4K |
| 96137 |
|
162 |
151 |
$3K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
30 |
13 |
$2K |
| 97151 |
|
27 |
25 |
$2K |
| 90686 |
|
54 |
52 |
$1K |
| S9981 |
Medical records copying fee, administrative |
168 |
168 |
$1K |
| 90658 |
|
35 |
32 |
$698.89 |
| 86353 |
|
4,423 |
2,397 |
$267.44 |
| 84443 |
Thyroid stimulating hormone (TSH) |
858 |
497 |
$165.16 |
| 36415 |
Collection of venous blood by venipuncture |
211 |
185 |
$133.93 |
| 82040 |
|
440 |
330 |
$68.44 |
| 85009 |
|
2,098 |
1,425 |
$66.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
86 |
63 |
$5.39 |
| 83516 |
|
4,450 |
2,401 |
$0.00 |
| 85004 |
|
2,098 |
1,425 |
$0.00 |
| 85049 |
|
2,532 |
1,801 |
$0.00 |
| 84155 |
|
463 |
344 |
$0.00 |
| 82374 |
|
460 |
345 |
$0.00 |
| 85041 |
|
2,532 |
1,801 |
$0.00 |
| 82947 |
|
465 |
345 |
$0.00 |
| 85014 |
|
2,556 |
1,801 |
$0.00 |
| 82565 |
|
466 |
344 |
$0.00 |
| 84450 |
|
463 |
344 |
$0.00 |
| 82247 |
|
465 |
345 |
$0.00 |
| 84460 |
|
465 |
345 |
$0.00 |
| 84060 |
|
1,099 |
796 |
$0.00 |
| 84295 |
|
73 |
55 |
$0.00 |
| 80050 |
General health panel |
458 |
397 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,108 |
790 |
$0.00 |
| 84132 |
|
76 |
55 |
$0.00 |
| 84540 |
|
1,096 |
797 |
$0.00 |
| 82330 |
|
1,086 |
794 |
$0.00 |
| 82435 |
|
458 |
344 |
$0.00 |
| 85018 |
|
2,560 |
1,801 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
85 |
$0.00 |