| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
12,390 |
10,401 |
$3.62M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,623 |
18,461 |
$1.88M |
| H2027 |
Psychoeducational service, per 15 minutes |
23,021 |
8,526 |
$1.87M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
34,403 |
17,321 |
$1.40M |
| 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 |
9,576 |
1,189 |
$990K |
| 90837 |
Psychotherapy, 53 minutes with patient |
9,973 |
7,686 |
$704K |
| H0038 |
Self-help/peer services, per 15 minutes |
19,685 |
6,452 |
$528K |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
2,189 |
189 |
$472K |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
1,843 |
156 |
$432K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
5,260 |
4,628 |
$301K |
| 90791 |
Psychiatric diagnostic evaluation |
2,834 |
2,542 |
$208K |
| H0001 |
Alcohol and/or drug assessment |
3,261 |
2,906 |
$191K |
| 99205 |
Prolong outpt/office vis |
1,198 |
1,022 |
$96K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,519 |
1,362 |
$86K |
| 90838 |
|
1,416 |
1,109 |
$72K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,275 |
1,090 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,117 |
647 |
$53K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,075 |
939 |
$39K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,319 |
416 |
$17K |
| 99215 |
Prolong outpt/office vis |
200 |
172 |
$15K |
| 96151 |
|
216 |
152 |
$6K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
1,238 |
555 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
20 |
18 |
$2K |
| 90836 |
|
21 |
19 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
60 |
$975.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$675.68 |
| 81025 |
|
198 |
155 |
$530.59 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
13 |
13 |
$503.42 |
| 80305 |
|
33 |
28 |
$141.12 |
| 36415 |
Collection of venous blood by venipuncture |
93 |
74 |
$117.72 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$84.20 |