| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0043 |
Supported housing, per diem |
371,738 |
12,656 |
$69.63M |
| H2016 |
Comprehensive community support services, per diem |
545,700 |
20,613 |
$52.80M |
| 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) |
545,421 |
20,595 |
$45.09M |
| T1016 |
Case management, each 15 minutes |
186,811 |
147,328 |
$44.01M |
| T1017 |
Targeted case management, each 15 minutes |
168,996 |
150,886 |
$42.03M |
| H2015 |
Comprehensive community support services, per 15 minutes |
396,968 |
24,321 |
$30.45M |
| H0032 |
Mental health service plan development by non-physician |
49,456 |
41,145 |
$11.24M |
| H0031 |
Mental health assessment, by non-physician |
21,805 |
21,463 |
$10.43M |
| T1005 |
Respite care services, up to 15 minutes |
121,073 |
17,878 |
$5.40M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
22,616 |
1,781 |
$4.60M |
| 0365T |
|
13,175 |
912 |
$4.47M |
| T2025 |
Waiver services; not otherwise specified (nos) |
47,449 |
47,430 |
$2.56M |
| H2000 |
Comprehensive multidisciplinary evaluation |
13,113 |
9,254 |
$1.99M |
| S5111 |
Home care training, family; per session |
6,597 |
5,334 |
$1.93M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,387 |
19,477 |
$1.60M |
| T2023 |
Targeted case management; per month |
2,344 |
2,226 |
$1.38M |
| T2027 |
Specialized childcare, waiver; per 15 minutes |
18,280 |
455 |
$1.17M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
6,104 |
1,863 |
$1.03M |
| S5151 |
Unskilled respite care, not hospice; per diem |
8,456 |
4,410 |
$817K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,791 |
2,696 |
$814K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
4,617 |
4,362 |
$793K |
| H2014 |
Skills training and development, per 15 minutes |
14,937 |
678 |
$767K |
| 97151 |
|
2,489 |
1,818 |
$695K |
| 0364T |
|
12,421 |
912 |
$686K |
| T1002 |
Rn services, up to 15 minutes |
2,992 |
2,973 |
$657K |
| H0045 |
Respite care services, not in the home, per diem |
4,342 |
1,813 |
$631K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
998 |
988 |
$613K |
| 0369T |
|
2,839 |
861 |
$609K |
| T1001 |
Nursing assessment / evaluation |
1,088 |
1,086 |
$495K |
| 90791 |
Psychiatric diagnostic evaluation |
1,375 |
1,334 |
$449K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,605 |
2,030 |
$446K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,292 |
849 |
$350K |
| 0368T |
|
3,232 |
878 |
$279K |
| 97165 |
|
454 |
426 |
$247K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,437 |
2,324 |
$241K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,717 |
1,326 |
$235K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
663 |
629 |
$154K |
| H0046 |
Mental health services, not otherwise specified |
663 |
548 |
$142K |
| 97156 |
|
969 |
730 |
$99K |
| 0370T |
|
493 |
409 |
$83K |
| T2036 |
Therapeutic camping, overnight, waiver; each session |
667 |
113 |
$82K |
| 97803 |
|
286 |
282 |
$78K |
| E1399 |
Durable medical equipment, miscellaneous |
193 |
184 |
$64K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,481 |
182 |
$63K |
| 97542 |
|
137 |
125 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
440 |
414 |
$42K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
684 |
176 |
$35K |
| H2023 |
Supported employment, per 15 minutes |
305 |
36 |
$25K |
| T2037 |
Therapeutic camping, day, waiver; each session |
314 |
25 |
$22K |
| 0359T |
|
45 |
45 |
$19K |
| 99215 |
Prolong outpt/office vis |
88 |
84 |
$18K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
24 |
12 |
$9K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
56 |
56 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$5K |