| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
13,157 |
1,923 |
$15.07M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
43,580 |
21,202 |
$10.09M |
| 90837 |
Psychotherapy, 53 minutes with patient |
25,247 |
14,395 |
$6.63M |
| H0038 |
Self-help/peer services, per 15 minutes |
38,965 |
10,367 |
$5.91M |
| T1017 |
Targeted case management, each 15 minutes |
46,407 |
20,859 |
$5.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,072 |
33,338 |
$4.25M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
33,090 |
7,198 |
$4.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,988 |
13,600 |
$3.86M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
5,290 |
1,646 |
$3.44M |
| H2011 |
Crisis intervention service, per 15 minutes |
11,438 |
6,522 |
$2.88M |
| 90791 |
Psychiatric diagnostic evaluation |
11,134 |
9,300 |
$2.81M |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
26,770 |
12,163 |
$2.63M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
1,877 |
701 |
$2.33M |
| 90834 |
Psychotherapy, 45 minutes with patient |
13,369 |
9,435 |
$2.16M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
5,888 |
5,233 |
$1.84M |
| H2031 |
Mental health clubhouse services, per diem |
7,074 |
540 |
$1.47M |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,699 |
5,302 |
$1.05M |
| H2030 |
Mental health clubhouse services, per 15 minutes |
8,720 |
1,292 |
$899K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
3,348 |
2,293 |
$855K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
4,123 |
505 |
$809K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
13,974 |
4,980 |
$789K |
| H0006 |
Alcohol and/or drug services; case management |
6,895 |
2,741 |
$737K |
| H2014 |
Skills training and development, per 15 minutes |
2,772 |
1,172 |
$583K |
| H0031 |
Mental health assessment, by non-physician |
2,600 |
1,615 |
$577K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
4,116 |
1,863 |
$447K |
| T1019 |
Personal care services, per 15 minutes, 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) |
5,557 |
880 |
$393K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
5,361 |
3,504 |
$373K |
| 99215 |
Prolong outpt/office vis |
749 |
470 |
$250K |
| H0032 |
Mental health service plan development by non-physician |
3,725 |
3,069 |
$241K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
729 |
519 |
$180K |
| H0001 |
Alcohol and/or drug assessment |
692 |
477 |
$164K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
1,090 |
717 |
$149K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
2,120 |
695 |
$145K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,013 |
3,043 |
$144K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
975 |
648 |
$138K |
| S5151 |
Unskilled respite care, not hospice; per diem |
386 |
133 |
$117K |
| H2027 |
Psychoeducational service, per 15 minutes |
1,073 |
176 |
$112K |
| H2023 |
Supported employment, per 15 minutes |
1,205 |
394 |
$82K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
1,388 |
750 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
554 |
434 |
$35K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
504 |
142 |
$33K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
511 |
123 |
$22K |
| 99336 |
|
55 |
53 |
$10K |
| 99349 |
|
66 |
44 |
$6K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
158 |
77 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
23 |
12 |
$125.04 |
| Q3014 |
Telehealth originating site facility fee |
46 |
28 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39 |
29 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
44 |
29 |
$0.00 |
| 80305 |
|
51 |
24 |
$0.00 |