| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
232,021 |
20,770 |
$69.90M |
| S9480 |
Intensive outpatient psychiatric services, per diem |
16,494 |
14,981 |
$11.40M |
| T2034 |
Crisis intervention, waiver; per diem |
6,963 |
6,636 |
$5.97M |
| 90832 |
Psychotherapy, 30 minutes with patient |
88,075 |
56,183 |
$5.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,680 |
39,126 |
$3.82M |
| 90837 |
Psychotherapy, 53 minutes with patient |
22,458 |
14,173 |
$2.67M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17,677 |
17,407 |
$2.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,287 |
22,722 |
$2.02M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
28,920 |
9,247 |
$1.24M |
| 90791 |
Psychiatric diagnostic evaluation |
9,265 |
8,972 |
$1.19M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
16,811 |
11,800 |
$1.11M |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
911 |
861 |
$744K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
11,174 |
8,551 |
$641K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
9,827 |
8,284 |
$415K |
| J0401 |
Injection, aripiprazole (abilify maintena), 1 mg |
434 |
408 |
$363K |
| 99215 |
Prolong outpt/office vis |
2,342 |
2,130 |
$290K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,028 |
2,869 |
$253K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
680 |
675 |
$116K |
| J2794 |
Injection, risperidone (risperdal consta), 0.5 mg |
334 |
181 |
$106K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
551 |
491 |
$38K |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
927 |
845 |
$34K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
161 |
158 |
$33K |
| 90834 |
Psychotherapy, 45 minutes with patient |
825 |
629 |
$31K |
| Q3014 |
Telehealth originating site facility fee |
3,516 |
1,730 |
$16K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
76 |
76 |
$13K |
| S9484 |
Crisis intervention mental health services, per hour |
56 |
56 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
355 |
255 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$1K |