| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
46,848 |
3,488 |
$8.29M |
| 99490 |
Ccm add 20min |
34,175 |
30,742 |
$5.35M |
| 90834 |
Psychotherapy, 45 minutes with patient |
40,281 |
23,321 |
$3.62M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
46,334 |
10,371 |
$2.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,480 |
14,582 |
$1.05M |
| H0040 |
Assertive community treatment program, per diem |
14,945 |
777 |
$842K |
| 90791 |
Psychiatric diagnostic evaluation |
6,351 |
6,128 |
$738K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,327 |
3,111 |
$613K |
| Q3014 |
Telehealth originating site facility fee |
14,602 |
12,870 |
$273K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,390 |
4,226 |
$245K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,351 |
4,333 |
$222K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,241 |
1,151 |
$160K |
| 99215 |
Prolong outpt/office vis |
1,250 |
1,074 |
$136K |
| 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 |
607 |
115 |
$56K |
| 90837 |
Psychotherapy, 53 minutes with patient |
518 |
404 |
$49K |
| 99205 |
Prolong outpt/office vis |
109 |
106 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,664 |
1,278 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
96 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
46 |
$4K |
| T1016 |
Case management, each 15 minutes |
430 |
320 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
16 |
12 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
39 |
34 |
$258.08 |
| 99439 |
|
2,204 |
2,108 |
$199.09 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
2,765 |
2,557 |
$57.34 |
| H0038 |
Self-help/peer services, per 15 minutes |
5,221 |
4,737 |
$25.02 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
2,238 |
2,082 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
5,730 |
5,453 |
$0.00 |
| 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 |
318 |
310 |
$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)). |
343 |
280 |
$0.00 |
| 99426 |
|
710 |
658 |
$0.00 |