| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
47,567 |
33,784 |
$12.84M |
| T1016 |
Case management, each 15 minutes |
26,817 |
22,204 |
$12.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,162 |
27,986 |
$6.51M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
15,704 |
5,162 |
$5.59M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
22,949 |
3,665 |
$4.50M |
| 90837 |
Psychotherapy, 53 minutes with patient |
25,651 |
18,385 |
$3.87M |
| H2016 |
Comprehensive community support services, per diem |
14,594 |
512 |
$2.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,846 |
13,527 |
$2.16M |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,819 |
12,876 |
$1.91M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
4,695 |
4,178 |
$1.72M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,004 |
3,987 |
$1.62M |
| 90791 |
Psychiatric diagnostic evaluation |
5,976 |
5,903 |
$1.45M |
| H0031 |
Mental health assessment, by non-physician |
4,866 |
4,805 |
$1.20M |
| H2023 |
Supported employment, per 15 minutes |
8,379 |
3,248 |
$1.09M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
11,103 |
1,787 |
$970K |
| 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) |
14,595 |
512 |
$915K |
| H2000 |
Comprehensive multidisciplinary evaluation |
2,443 |
2,177 |
$857K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15,281 |
12,164 |
$759K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,152 |
7,078 |
$737K |
| H0032 |
Mental health service plan development by non-physician |
2,713 |
2,669 |
$709K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
8,005 |
3,032 |
$628K |
| H2015 |
Comprehensive community support services, per 15 minutes |
4,733 |
1,488 |
$453K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,045 |
3,006 |
$314K |
| H2033 |
Multisystemic therapy for juveniles, per 15 minutes |
634 |
125 |
$281K |
| H0038 |
Self-help/peer services, per 15 minutes |
5,977 |
2,657 |
$267K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
1,068 |
1,049 |
$247K |
| H0001 |
Alcohol and/or drug assessment |
2,665 |
2,656 |
$231K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
2,331 |
1,434 |
$163K |
| 96113 |
|
355 |
353 |
$87K |
| T1002 |
Rn services, up to 15 minutes |
175 |
175 |
$65K |
| 96112 |
|
378 |
377 |
$48K |
| S5111 |
Home care training, family; per session |
127 |
65 |
$37K |
| H2011 |
Crisis intervention service, per 15 minutes |
325 |
319 |
$31K |
| 97168 |
|
49 |
49 |
$12K |
| 97535 |
Self-care/home management training, each 15 minutes |
144 |
137 |
$10K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
25 |
12 |
$8K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
1,116 |
476 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
143 |
131 |
$7K |
| 99442 |
|
252 |
250 |
$6K |
| 99441 |
|
149 |
148 |
$2K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,166 |
746 |
$937.50 |
| H0034 |
Medication training and support, per 15 minutes |
15 |
14 |
$432.00 |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
52,913 |
24,866 |
$0.03 |
| 80305 |
|
882 |
410 |
$0.00 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
465 |
144 |
$0.00 |