| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
63,373 |
5,024 |
$955K |
| H2014 |
Skills training and development, per 15 minutes |
6,441 |
1,048 |
$223K |
| H2027 |
Psychoeducational service, per 15 minutes |
9,732 |
1,811 |
$181K |
| H0038 |
Self-help/peer services, per 15 minutes |
7,295 |
1,791 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,140 |
2,476 |
$38K |
| H0031 |
Mental health assessment, by non-physician |
464 |
173 |
$30K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
6,813 |
895 |
$27K |
| 99215 |
Prolong outpt/office vis |
814 |
579 |
$24K |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
570 |
243 |
$19K |
| 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) |
8,382 |
1,681 |
$9K |
| S5110 |
Home care training, family; per 15 minutes |
3,563 |
611 |
$9K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
390 |
131 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,140 |
1,678 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,049 |
983 |
$3K |
| T1002 |
Rn services, up to 15 minutes |
8,939 |
3,270 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,311 |
2,897 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
637 |
283 |
$2K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
2,612 |
460 |
$1K |
| H0034 |
Medication training and support, per 15 minutes |
27 |
15 |
$57.94 |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
162 |
111 |
$0.00 |
| 80061 |
Lipid panel |
217 |
84 |
$0.00 |
| 84146 |
|
58 |
15 |
$0.00 |
| J1944 |
Injection, aripiprazole lauroxil, (aristada), 1 mg |
51 |
14 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
14 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
200 |
76 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
347 |
130 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
214 |
82 |
$0.00 |
| 82746 |
|
195 |
69 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
220 |
84 |
$0.00 |
| 82607 |
|
194 |
69 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
220 |
86 |
$0.00 |
| 99443 |
|
14 |
13 |
$0.00 |