| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99490 |
Ccm add 20min |
17,853 |
17,105 |
$2.97M |
| 90834 |
Psychotherapy, 45 minutes with patient |
21,075 |
16,412 |
$1.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,250 |
16,411 |
$1.17M |
| 90791 |
Psychiatric diagnostic evaluation |
5,511 |
5,290 |
$694K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,216 |
8,770 |
$487K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,251 |
6,722 |
$398K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,697 |
2,227 |
$279K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,372 |
1,277 |
$244K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
426 |
416 |
$168K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,056 |
955 |
$159K |
| H0046 |
Mental health services, not otherwise specified |
1,404 |
842 |
$135K |
| Q3014 |
Telehealth originating site facility fee |
8,556 |
7,052 |
$123K |
| 96127 |
|
1,085 |
1,024 |
$43K |
| 99215 |
Prolong outpt/office vis |
309 |
227 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,807 |
1,570 |
$6K |
| 90785 |
|
1,423 |
1,052 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
13 |
12 |
$178.15 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
77 |
58 |
$42.83 |
| G2065 |
Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities |
1,306 |
1,247 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
4,207 |
3,989 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,485 |
1,446 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
4,388 |
4,238 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
8,885 |
8,512 |
$0.00 |
| 99439 |
|
4,041 |
3,958 |
$0.00 |
| 99426 |
|
1,212 |
1,198 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
1,078 |
921 |
$0.00 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
94 |
87 |
$0.00 |