| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
37,118 |
14,785 |
$2.61M |
| T1016 |
Case management, each 15 minutes |
99,125 |
42,335 |
$2.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,713 |
21,283 |
$1.67M |
| H0031 |
Mental health assessment, by non-physician |
8,094 |
7,442 |
$930K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,353 |
3,955 |
$642K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
23,340 |
16,689 |
$537K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,576 |
1,619 |
$281K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,151 |
4,578 |
$242K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,590 |
3,052 |
$219K |
| 99336 |
|
1,647 |
1,144 |
$67K |
| 90791 |
Psychiatric diagnostic evaluation |
410 |
386 |
$48K |
| H0001 |
Alcohol and/or drug assessment |
1,173 |
1,021 |
$44K |
| 99215 |
Prolong outpt/office vis |
546 |
411 |
$42K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
445 |
254 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
401 |
381 |
$27K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
5,170 |
2,425 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
331 |
300 |
$24K |
| 99310 |
Prolong nursin fac eval 15m |
606 |
415 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
827 |
726 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
136 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
535 |
494 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
181 |
164 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
195 |
168 |
$14K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
389 |
256 |
$13K |
| 99383 |
|
150 |
125 |
$11K |
| 96160 |
|
3,041 |
2,536 |
$9K |
| 99385 |
|
106 |
105 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
153 |
94 |
$7K |
| 99337 |
|
56 |
54 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
81 |
$6K |
| 92551 |
|
1,029 |
937 |
$5K |
| 99401 |
|
205 |
168 |
$5K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
87 |
44 |
$4K |
| 99384 |
|
44 |
35 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
41 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
62 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
559 |
457 |
$946.26 |
| 99327 |
|
15 |
13 |
$850.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
100 |
73 |
$776.81 |
| 99201 |
|
24 |
24 |
$723.92 |
| H2014 |
Skills training and development, per 15 minutes |
33 |
32 |
$700.89 |
| 99173 |
|
891 |
802 |
$657.65 |
| 90656 |
|
80 |
58 |
$597.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$219.81 |
| 90670 |
|
80 |
77 |
$194.85 |
| 90633 |
|
15 |
15 |
$180.00 |
| 81025 |
|
34 |
21 |
$125.85 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
26 |
16 |
$105.60 |
| 90785 |
|
224 |
156 |
$3.10 |
| 1034F |
|
186 |
140 |
$0.00 |
| 3008F |
|
492 |
362 |
$0.00 |
| 3044F |
|
17 |
13 |
$0.00 |
| 1035F |
|
16 |
13 |
$0.00 |
| 99406 |
|
63 |
44 |
$0.00 |
| 1036F |
|
203 |
158 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
49 |
30 |
$0.00 |
| 90698 |
|
40 |
39 |
$0.00 |
| 96127 |
|
79 |
49 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 3074F |
|
53 |
41 |
$0.00 |
| 3725F |
|
323 |
281 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
13 |
$0.00 |