| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
384,932 |
216,809 |
$6.28M |
| H2010 |
Comprehensive medication services, per 15 minutes |
423,940 |
35,984 |
$3.93M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
121,550 |
66,312 |
$3.89M |
| H0031 |
Mental health assessment, by non-physician |
37,403 |
34,634 |
$2.99M |
| 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 |
23,466 |
3,699 |
$2.34M |
| H2020 |
Therapeutic behavioral services, per diem |
32,029 |
2,573 |
$2.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,166 |
39,159 |
$1.60M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
473,349 |
34,980 |
$1.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,616 |
11,001 |
$381K |
| H0038 |
Self-help/peer services, per 15 minutes |
19,222 |
11,103 |
$348K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
1,832 |
142 |
$322K |
| H2016 |
Comprehensive community support services, per diem |
1,054 |
536 |
$308K |
| 99215 |
Prolong outpt/office vis |
4,066 |
3,784 |
$271K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
24,107 |
15,522 |
$269K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,222 |
2,792 |
$229K |
| H0001 |
Alcohol and/or drug assessment |
11,301 |
10,938 |
$221K |
| H2027 |
Psychoeducational service, per 15 minutes |
6,976 |
3,279 |
$211K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,645 |
2,526 |
$203K |
| 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) |
11,865 |
1,055 |
$78K |
| S5110 |
Home care training, family; per 15 minutes |
4,662 |
3,382 |
$54K |
| 99205 |
Prolong outpt/office vis |
394 |
353 |
$43K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
3,784 |
3,678 |
$42K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
949 |
468 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,866 |
1,698 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
380 |
349 |
$30K |
| 93000 |
|
1,453 |
1,326 |
$22K |
| H2014 |
Skills training and development, per 15 minutes |
1,343 |
799 |
$19K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,963 |
539 |
$17K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,506 |
678 |
$16K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
1,470 |
1,255 |
$15K |
| H0034 |
Medication training and support, per 15 minutes |
1,955 |
1,751 |
$15K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
3,513 |
3,257 |
$13K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,130 |
471 |
$12K |
| H0033 |
Oral medication administration, direct observation |
607 |
154 |
$10K |
| 99385 |
|
90 |
90 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
90 |
66 |
$7K |
| 86580 |
|
1,097 |
794 |
$6K |
| 80305 |
|
1,010 |
844 |
$6K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
4,706 |
2,415 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
752 |
663 |
$4K |
| 94760 |
|
1,821 |
1,664 |
$3K |
| 99000 |
|
752 |
676 |
$3K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,852 |
1,188 |
$3K |
| H2011 |
Crisis intervention service, per 15 minutes |
15 |
12 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
85 |
84 |
$3K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
414 |
369 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
205 |
179 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
981 |
950 |
$2K |
| H0046 |
Mental health services, not otherwise specified |
459 |
29 |
$2K |
| 99354 |
|
71 |
45 |
$2K |
| 99355 |
|
19 |
12 |
$2K |
| 82075 |
|
116 |
104 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
32 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
40 |
$2K |
| 90686 |
|
95 |
83 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
102 |
98 |
$1K |
| 99386 |
|
12 |
12 |
$989.02 |
| 99201 |
|
50 |
49 |
$949.02 |
| A6203 |
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
182 |
164 |
$506.19 |
| 81002 |
|
251 |
207 |
$411.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
53 |
$402.52 |
| 90656 |
|
35 |
24 |
$281.56 |
| 82947 |
|
12 |
12 |
$33.40 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
49 |
43 |
$23.85 |
| 80354 |
|
148 |
120 |
$0.00 |
| H0043 |
Supported housing, per diem |
27 |
27 |
$0.00 |