| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
6,026 |
1,464 |
$3.59M |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
3,070 |
2,791 |
$3.20M |
| S9485 |
Crisis intervention mental health services, per diem |
12,258 |
2,835 |
$3.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,034 |
26,984 |
$1.17M |
| 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 |
23,680 |
1,108 |
$1.11M |
| H0043 |
Supported housing, per diem |
9,826 |
3,999 |
$1.08M |
| T2025 |
Waiver services; not otherwise specified (nos) |
1,932 |
612 |
$300K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,964 |
11,767 |
$220K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
208,673 |
117,704 |
$180K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,464 |
2,375 |
$156K |
| H2023 |
Supported employment, per 15 minutes |
1,873 |
632 |
$155K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
3,908 |
1,373 |
$141K |
| H0031 |
Mental health assessment, by non-physician |
12,382 |
12,250 |
$35K |
| H2012 |
Behavioral health day treatment, per hour |
17,304 |
3,037 |
$23K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
11,494 |
6,796 |
$22K |
| H0001 |
Alcohol and/or drug assessment |
802 |
680 |
$19K |
| H0038 |
Self-help/peer services, per 15 minutes |
20,704 |
7,849 |
$16K |
| H0046 |
Mental health services, not otherwise specified |
27,269 |
21,848 |
$14K |
| G9149 |
National committee for quality assurance - level 2 medical home |
78 |
78 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,408 |
4,649 |
$10K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
9,229 |
3,470 |
$10K |
| H2015 |
Comprehensive community support services, per 15 minutes |
18,832 |
11,917 |
$8K |
| H2011 |
Crisis intervention service, per 15 minutes |
14,675 |
9,375 |
$7K |
| 96153 |
|
3,971 |
1,450 |
$4K |
| S9982 |
Medical records copying fee, per page |
165 |
162 |
$3K |
| S9981 |
Medical records copying fee, administrative |
165 |
162 |
$3K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
4,169 |
2,342 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,279 |
1,246 |
$1K |
| 96164 |
|
4,739 |
1,952 |
$1K |
| 96165 |
|
3,943 |
1,638 |
$1K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
8,710 |
4,108 |
$552.89 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
869 |
470 |
$324.94 |
| T1001 |
Nursing assessment / evaluation |
3,971 |
1,479 |
$123.81 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
39 |
$12.22 |
| H0033 |
Oral medication administration, direct observation |
3,154 |
791 |
$0.58 |
| H0032 |
Mental health service plan development by non-physician |
4,962 |
2,314 |
$0.20 |
| H2021 |
Community-based wrap-around services, per 15 minutes |
4,163 |
1,453 |
$0.06 |
| 90832 |
Psychotherapy, 30 minutes with patient |
933 |
779 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
7,720 |
5,033 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
325 |
284 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
232 |
155 |
$0.00 |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
20 |
14 |
$0.00 |
| T2038 |
Community transition, waiver; per service |
53 |
53 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,159 |
1,645 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
31 |
20 |
$0.00 |