| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5100 |
Day care services, adult; per 15 minutes |
17,338 |
15,157 |
$20.82M |
| S5136 |
Companion care, adult (e.g., iadl/adl); per diem |
2,820 |
2,308 |
$12.50M |
| 90837 |
Psychotherapy, 53 minutes with patient |
79,458 |
55,456 |
$8.62M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
108,384 |
8,614 |
$7.46M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
124,209 |
41,644 |
$6.50M |
| H2030 |
Mental health clubhouse services, per 15 minutes |
95,138 |
6,814 |
$6.32M |
| H2015 |
Comprehensive community support services, per 15 minutes |
114,191 |
45,291 |
$6.16M |
| H2012 |
Behavioral health day treatment, per hour |
55,447 |
4,790 |
$5.29M |
| T2015 |
Habilitation, prevocational, waiver; per hour |
4,938 |
4,658 |
$4.76M |
| H2022 |
Community-based wrap-around services, per diem |
13,636 |
1,732 |
$4.02M |
| 90834 |
Psychotherapy, 45 minutes with patient |
49,465 |
38,035 |
$3.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,952 |
52,121 |
$2.86M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
7,209 |
723 |
$2.65M |
| 90832 |
Psychotherapy, 30 minutes with patient |
37,843 |
31,157 |
$2.11M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
24,209 |
19,745 |
$2.03M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
24,191 |
4,127 |
$1.92M |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
3,994 |
1,917 |
$1.43M |
| T1002 |
Rn services, up to 15 minutes |
56,746 |
48,172 |
$1.18M |
| H0031 |
Mental health assessment, by non-physician |
11,408 |
10,401 |
$1.05M |
| T2048 |
Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem |
2,182 |
225 |
$863K |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
370 |
288 |
$832K |
| H0032 |
Mental health service plan development by non-physician |
36,617 |
34,027 |
$664K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
7,201 |
6,107 |
$591K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,467 |
6,789 |
$572K |
| 99215 |
Prolong outpt/office vis |
5,087 |
4,628 |
$566K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
8,681 |
7,465 |
$394K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
1,696 |
358 |
$345K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,095 |
9,360 |
$340K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28,221 |
22,832 |
$321K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
4,998 |
930 |
$293K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
14,804 |
4,681 |
$271K |
| J0401 |
Injection, aripiprazole (abilify maintena), 1 mg |
152 |
105 |
$208K |
| H2023 |
Supported employment, per 15 minutes |
1,573 |
1,016 |
$200K |
| H0038 |
Self-help/peer services, per 15 minutes |
7,020 |
2,889 |
$158K |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
1,727 |
228 |
$149K |
| T1017 |
Targeted case management, each 15 minutes |
4,832 |
2,446 |
$97K |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
52 |
48 |
$85K |
| 99205 |
Prolong outpt/office vis |
432 |
380 |
$64K |
| 90791 |
Psychiatric diagnostic evaluation |
555 |
495 |
$55K |
| T2023 |
Targeted case management; per month |
54 |
39 |
$41K |
| H2011 |
Crisis intervention service, per 15 minutes |
134 |
103 |
$11K |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
214 |
148 |
$10K |
| 90836 |
|
44 |
42 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
13 |
$2K |
| 80305 |
|
137 |
106 |
$155.34 |