| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
169,696 |
74,571 |
$39.24M |
| T1017 |
Targeted case management, each 15 minutes |
87,858 |
55,183 |
$22.76M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
21,383 |
7,103 |
$13.40M |
| H0031 |
Mental health assessment, by non-physician |
27,356 |
25,421 |
$8.96M |
| T1016 |
Case management, each 15 minutes |
44,247 |
25,618 |
$8.26M |
| H0032 |
Mental health service plan development by non-physician |
22,839 |
20,355 |
$5.72M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
9,413 |
2,493 |
$5.04M |
| H2030 |
Mental health clubhouse services, per 15 minutes |
28,917 |
3,555 |
$4.76M |
| 90837 |
Psychotherapy, 53 minutes with patient |
24,531 |
14,493 |
$4.12M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
24,125 |
2,779 |
$3.96M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
14,587 |
2,789 |
$3.96M |
| H0038 |
Self-help/peer services, per 15 minutes |
12,174 |
5,880 |
$3.05M |
| H2023 |
Supported employment, per 15 minutes |
10,366 |
4,585 |
$2.86M |
| T1002 |
Rn services, up to 15 minutes |
14,681 |
8,928 |
$2.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,807 |
13,304 |
$1.82M |
| 90834 |
Psychotherapy, 45 minutes with patient |
16,194 |
11,308 |
$1.79M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
10,283 |
10,175 |
$1.75M |
| H2011 |
Crisis intervention service, per 15 minutes |
4,183 |
3,241 |
$1.64M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
8,930 |
7,358 |
$1.42M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,837 |
7,991 |
$1.38M |
| S5111 |
Home care training, family; per session |
7,675 |
3,411 |
$1.01M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
7,501 |
2,565 |
$916K |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,399 |
8,050 |
$882K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,895 |
2,838 |
$875K |
| 99215 |
Prolong outpt/office vis |
5,172 |
4,870 |
$873K |
| H2015 |
Comprehensive community support services, per 15 minutes |
18,233 |
7,546 |
$856K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
3,398 |
1,255 |
$695K |
| 90791 |
Psychiatric diagnostic evaluation |
2,702 |
2,618 |
$604K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
8,661 |
4,040 |
$593K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20,712 |
15,586 |
$526K |
| 97156 |
|
3,429 |
2,113 |
$514K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,715 |
7,303 |
$442K |
| H2022 |
Community-based wrap-around services, per diem |
1,260 |
478 |
$352K |
| H2000 |
Comprehensive multidisciplinary evaluation |
4,418 |
3,283 |
$303K |
| 97151 |
|
751 |
700 |
$300K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,861 |
1,139 |
$287K |
| H2014 |
Skills training and development, per 15 minutes |
5,639 |
1,566 |
$274K |
| T1001 |
Nursing assessment / evaluation |
799 |
702 |
$245K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
434 |
340 |
$208K |
| S9976 |
Lodging, per diem, not otherwise classified |
6,163 |
205 |
$175K |
| 96113 |
|
2,245 |
507 |
$173K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
1,534 |
621 |
$157K |
| 90839 |
|
702 |
655 |
$153K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
575 |
397 |
$147K |
| 96112 |
|
679 |
568 |
$110K |
| 99205 |
Prolong outpt/office vis |
355 |
343 |
$98K |
| 0369T |
|
875 |
298 |
$84K |
| 0368T |
|
993 |
283 |
$60K |
| 0365T |
|
620 |
46 |
$59K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
1,211 |
712 |
$58K |
| 90785 |
|
1,311 |
745 |
$50K |
| 0370T |
|
312 |
228 |
$37K |
| H0046 |
Mental health services, not otherwise specified |
283 |
121 |
$33K |
| H0006 |
Alcohol and/or drug services; case management |
1,996 |
688 |
$33K |
| T1005 |
Respite care services, up to 15 minutes |
282 |
55 |
$21K |
| 0359T |
|
39 |
39 |
$19K |
| 96137 |
|
374 |
110 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
398 |
386 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
563 |
418 |
$14K |
| 97535 |
Self-care/home management training, each 15 minutes |
215 |
150 |
$13K |
| 0364T |
|
365 |
25 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
21 |
14 |
$10K |
| S9484 |
Crisis intervention mental health services, per hour |
21 |
19 |
$10K |
| T2003 |
Non-emergency transportation; encounter/trip |
59 |
59 |
$9K |
| 96136 |
|
178 |
166 |
$9K |
| H0001 |
Alcohol and/or drug assessment |
52 |
47 |
$8K |
| 99201 |
|
282 |
274 |
$8K |
| 90887 |
|
163 |
162 |
$7K |
| 96101 |
|
16 |
16 |
$7K |
| 96116 |
|
67 |
66 |
$7K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
44 |
16 |
$6K |
| 0371T |
|
64 |
28 |
$5K |
| 0362T |
|
36 |
28 |
$5K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
41 |
40 |
$3K |
| 96130 |
|
12 |
12 |
$2K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
41 |
27 |
$1K |
| 96127 |
|
39 |
38 |
$206.31 |
| T2038 |
Community transition, waiver; per service |
40 |
39 |
$40.00 |