| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99490 |
Ccm add 20min |
64,630 |
62,695 |
$9.60M |
| 90834 |
Psychotherapy, 45 minutes with patient |
78,572 |
44,056 |
$7.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,142 |
40,690 |
$3.26M |
| H0037 |
Community psychiatric supportive treatment program, per diem |
16,246 |
15,553 |
$2.67M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,804 |
4,531 |
$911K |
| 90832 |
Psychotherapy, 30 minutes with patient |
15,320 |
10,743 |
$793K |
| 96127 |
|
8,668 |
3,448 |
$442K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
6,282 |
4,024 |
$320K |
| 99215 |
Prolong outpt/office vis |
2,741 |
2,451 |
$263K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,183 |
1,619 |
$216K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
1,005 |
150 |
$109K |
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
219 |
179 |
$70K |
| H0038 |
Self-help/peer services, per 15 minutes |
22,063 |
21,300 |
$41K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
269 |
202 |
$21K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
364 |
332 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
297 |
280 |
$18K |
| S9485 |
Crisis intervention mental health services, per diem |
41 |
25 |
$12K |
| 90785 |
|
1,615 |
1,018 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
706 |
626 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
172 |
160 |
$2K |
| 99439 |
|
7,017 |
6,947 |
$514.51 |
| 98968 |
|
313 |
204 |
$347.24 |
| 99443 |
|
32 |
29 |
$271.51 |
| 99442 |
|
28 |
27 |
$193.60 |
| 98967 |
|
84 |
60 |
$60.77 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
2,269 |
2,217 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
35,432 |
34,814 |
$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) |
12,918 |
12,768 |
$0.00 |
| 99426 |
|
989 |
965 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
751 |
727 |
$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 |
323 |
320 |
$0.00 |
| 1036F |
|
195 |
189 |
$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)). |
2,137 |
2,096 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
154 |
147 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,070 |
1,032 |
$0.00 |
| 4004F |
|
83 |
80 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
548 |
527 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
764 |
737 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
181 |
171 |
$0.00 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
117 |
113 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
165 |
158 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
15 |
15 |
$0.00 |