| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case management; per month |
42,817 |
40,599 |
$17.80M |
| H0040 |
Assertive community treatment program, per diem |
25,282 |
2,987 |
$5.81M |
| 90834 |
Psychotherapy, 45 minutes with patient |
24,185 |
17,185 |
$4.03M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
14,048 |
4,075 |
$2.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,530 |
10,616 |
$1.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,246 |
4,704 |
$1.11M |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
19,045 |
4,488 |
$910K |
| 90791 |
Psychiatric diagnostic evaluation |
3,778 |
3,683 |
$707K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,674 |
3,426 |
$577K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,541 |
518 |
$418K |
| G9006 |
Coordinated care fee, home monitoring |
2,553 |
2,405 |
$395K |
| H2014 |
Skills training and development, per 15 minutes |
1,938 |
607 |
$348K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,544 |
1,518 |
$332K |
| H2011 |
Crisis intervention service, per 15 minutes |
1,035 |
381 |
$227K |
| H0032 |
Mental health service plan development by non-physician |
1,135 |
884 |
$217K |
| H2015 |
Comprehensive community support services, per 15 minutes |
3,377 |
983 |
$212K |
| H0031 |
Mental health assessment, by non-physician |
875 |
635 |
$199K |
| 99215 |
Prolong outpt/office vis |
551 |
516 |
$138K |
| 99442 |
|
629 |
613 |
$71K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
158 |
156 |
$26K |
| H0046 |
Mental health services, not otherwise specified |
3,416 |
1,202 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
34 |
$7K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
82 |
81 |
$7K |
| T2024 |
Service assessment/plan of care development, waiver |
25 |
25 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
135 |
$1K |