| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
177,860 |
113,726 |
$38.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,743 |
43,599 |
$14.18M |
| H0032 |
Mental health service plan development by non-physician |
36,549 |
22,857 |
$11.02M |
| T1016 |
Case management, each 15 minutes |
60,626 |
40,338 |
$10.63M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
25,812 |
6,996 |
$7.12M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
25,736 |
4,832 |
$6.08M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
7,644 |
2,776 |
$5.34M |
| H2014 |
Skills training and development, per 15 minutes |
53,878 |
4,057 |
$5.26M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
73,429 |
3,032 |
$5.05M |
| 90791 |
Psychiatric diagnostic evaluation |
10,927 |
10,744 |
$4.94M |
| H0031 |
Mental health assessment, by non-physician |
10,955 |
10,891 |
$4.35M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,736 |
4,624 |
$3.55M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26,434 |
19,598 |
$3.32M |
| 90837 |
Psychotherapy, 53 minutes with patient |
8,784 |
6,284 |
$2.99M |
| H0038 |
Self-help/peer services, per 15 minutes |
9,691 |
5,040 |
$2.96M |
| S5111 |
Home care training, family; per session |
8,868 |
4,683 |
$2.95M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
9,398 |
2,291 |
$2.82M |
| H2011 |
Crisis intervention service, per 15 minutes |
8,806 |
6,432 |
$2.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,579 |
9,671 |
$2.46M |
| H2030 |
Mental health clubhouse services, per 15 minutes |
28,699 |
3,763 |
$2.37M |
| 97151 |
|
928 |
832 |
$2.08M |
| T1002 |
Rn services, up to 15 minutes |
9,587 |
8,521 |
$1.91M |
| H2022 |
Community-based wrap-around services, per diem |
3,098 |
1,097 |
$1.86M |
| 0365T |
|
19,908 |
767 |
$1.83M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
64,646 |
29,190 |
$1.70M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
14,928 |
3,001 |
$1.63M |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,791 |
3,952 |
$1.21M |
| 90785 |
|
1,399 |
1,336 |
$949K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,013 |
1,805 |
$852K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,177 |
3,471 |
$821K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
1,680 |
1,410 |
$735K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,191 |
470 |
$732K |
| 99215 |
Prolong outpt/office vis |
1,593 |
1,467 |
$687K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
2,820 |
2,683 |
$519K |
| 0364T |
|
10,664 |
767 |
$399K |
| T1001 |
Nursing assessment / evaluation |
1,231 |
1,231 |
$395K |
| H2033 |
Multisystemic therapy for juveniles, per 15 minutes |
517 |
100 |
$319K |
| 96101 |
|
607 |
511 |
$296K |
| 0366T |
|
9,643 |
727 |
$271K |
| 0368T |
|
3,877 |
734 |
$228K |
| 0369T |
|
2,575 |
711 |
$210K |
| 97154 |
|
39,428 |
2,177 |
$210K |
| 99442 |
|
2,741 |
2,179 |
$202K |
| 99443 |
|
1,911 |
1,569 |
$183K |
| 96137 |
|
2,344 |
1,976 |
$180K |
| 97156 |
|
3,148 |
2,340 |
$174K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
506 |
465 |
$77K |
| 96131 |
|
548 |
543 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
172 |
$49K |
| 96136 |
|
1,730 |
1,526 |
$48K |
| 96133 |
|
121 |
121 |
$36K |
| 96130 |
|
479 |
471 |
$32K |
| 0367T |
|
583 |
199 |
$30K |
| 0370T |
|
184 |
176 |
$21K |
| H2000 |
Comprehensive multidisciplinary evaluation |
298 |
296 |
$20K |
| 96132 |
|
122 |
122 |
$9K |
| 99441 |
|
133 |
104 |
$8K |
| 96139 |
|
106 |
106 |
$8K |
| 99506 |
|
47 |
40 |
$8K |
| 0359T |
|
12 |
12 |
$6K |
| 96138 |
|
135 |
133 |
$3K |
| 97803 |
|
12 |
12 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 0371T |
|
15 |
13 |
$1K |
| 97157 |
|
14 |
14 |
$1K |