| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
126,194 |
80,521 |
$14.20M |
| T2023 |
Targeted case management; per month |
40,085 |
35,649 |
$11.66M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
23,189 |
4,737 |
$6.26M |
| 90887 |
|
48,579 |
30,657 |
$5.67M |
| 90832 |
Psychotherapy, 30 minutes with patient |
98,019 |
70,242 |
$5.62M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
21,873 |
1,872 |
$5.18M |
| 90834 |
Psychotherapy, 45 minutes with patient |
55,018 |
42,652 |
$4.75M |
| H0038 |
Self-help/peer services, per 15 minutes |
112,059 |
26,225 |
$3.09M |
| H2015 |
Comprehensive community support services, per 15 minutes |
46,700 |
14,439 |
$2.73M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
362,497 |
178,607 |
$2.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81,163 |
68,844 |
$2.44M |
| 90791 |
Psychiatric diagnostic evaluation |
19,117 |
18,142 |
$2.21M |
| H2011 |
Crisis intervention service, per 15 minutes |
11,905 |
9,418 |
$1.60M |
| H0032 |
Mental health service plan development by non-physician |
13,692 |
12,342 |
$1.53M |
| S9485 |
Crisis intervention mental health services, per diem |
4,623 |
890 |
$1.43M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
9,046 |
3,234 |
$1.42M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
67,282 |
20,195 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,475 |
17,493 |
$1.02M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
8,262 |
7,611 |
$1.00M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
20,143 |
5,325 |
$784K |
| 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 |
6,910 |
1,630 |
$757K |
| H2020 |
Therapeutic behavioral services, per diem |
4,420 |
909 |
$598K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
4,367 |
3,105 |
$515K |
| H2018 |
Psychosocial rehabilitation services, per diem |
4,443 |
735 |
$508K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
3,027 |
429 |
$480K |
| Q3014 |
Telehealth originating site facility fee |
22,445 |
14,093 |
$420K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
13,402 |
3,512 |
$386K |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
2,517 |
200 |
$359K |
| H0040 |
Assertive community treatment program, per diem |
456 |
399 |
$289K |
| H0001 |
Alcohol and/or drug assessment |
2,374 |
2,207 |
$263K |
| 92526 |
|
7,525 |
2,209 |
$236K |
| 99354 |
|
4,949 |
2,820 |
$195K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,060 |
5,639 |
$169K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
1,198 |
1,066 |
$128K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
1,013 |
883 |
$119K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
5,229 |
3,925 |
$42K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,934 |
2,371 |
$36K |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
180 |
13 |
$29K |
| 97533 |
|
2,333 |
715 |
$29K |
| 90785 |
|
3,269 |
2,331 |
$25K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,170 |
871 |
$17K |
| 99355 |
|
74 |
50 |
$6K |
| H0031 |
Mental health assessment, by non-physician |
42 |
42 |
$5K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
38 |
34 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
168 |
116 |
$3K |
| 99215 |
Prolong outpt/office vis |
30 |
27 |
$2K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
304 |
80 |
$2K |
| 92523 |
|
19 |
16 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
276 |
179 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$749.50 |
| 86328 |
|
31 |
29 |
$729.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
15 |
$693.03 |
| H0024 |
Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) |
15 |
15 |
$645.60 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$92.95 |