| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
63,248 |
2,796 |
$6.02M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
165,869 |
15,089 |
$4.53M |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
892 |
887 |
$2.94M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
13,049 |
4,969 |
$1.66M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
10,903 |
719 |
$1.65M |
| 90837 |
Psychotherapy, 53 minutes with patient |
95,037 |
60,409 |
$1.51M |
| T2023 |
Targeted case management; per month |
659 |
651 |
$957K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80,286 |
66,412 |
$692K |
| G9149 |
National committee for quality assurance - level 2 medical home |
3,762 |
3,707 |
$610K |
| S9485 |
Crisis intervention mental health services, per diem |
3,732 |
1,224 |
$532K |
| 90834 |
Psychotherapy, 45 minutes with patient |
22,924 |
15,977 |
$389K |
| T2022 |
Case management, per month |
136 |
134 |
$267K |
| 90791 |
Psychiatric diagnostic evaluation |
12,542 |
12,379 |
$185K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
21,649 |
14,245 |
$136K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
972 |
381 |
$104K |
| H2015 |
Comprehensive community support services, per 15 minutes |
64,801 |
28,364 |
$84K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
18,849 |
5,728 |
$69K |
| H2011 |
Crisis intervention service, per 15 minutes |
10,381 |
5,899 |
$67K |
| H0046 |
Mental health services, not otherwise specified |
71,541 |
41,196 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,159 |
8,558 |
$58K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,198 |
6,489 |
$56K |
| 96165 |
|
15,515 |
3,478 |
$53K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,690 |
2,621 |
$52K |
| H2012 |
Behavioral health day treatment, per hour |
7,370 |
1,105 |
$51K |
| 96164 |
|
22,812 |
4,844 |
$50K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
10,260 |
5,908 |
$33K |
| 99215 |
Prolong outpt/office vis |
2,336 |
1,690 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,572 |
3,212 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
11,765 |
10,211 |
$20K |
| H0043 |
Supported housing, per diem |
430 |
210 |
$19K |
| 96153 |
|
1,079 |
313 |
$13K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,543 |
927 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
306 |
300 |
$6K |
| H0038 |
Self-help/peer services, per 15 minutes |
4,482 |
1,900 |
$6K |
| H0001 |
Alcohol and/or drug assessment |
1,210 |
1,171 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
408 |
390 |
$5K |
| H0031 |
Mental health assessment, by non-physician |
249 |
229 |
$3K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
839 |
558 |
$3K |
| 99335 |
|
1,238 |
937 |
$3K |
| G9148 |
National committee for quality assurance - level 1 medical home |
12 |
12 |
$3K |
| T1016 |
Case management, each 15 minutes |
3,548 |
2,413 |
$3K |
| 99205 |
Prolong outpt/office vis |
144 |
140 |
$2K |
| 99348 |
|
269 |
185 |
$1K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
1,060 |
337 |
$1K |
| H0034 |
Medication training and support, per 15 minutes |
768 |
528 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,443 |
328 |
$942.90 |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
62 |
26 |
$877.81 |
| 3085F |
|
1,786 |
1,704 |
$600.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$592.89 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
325 |
245 |
$540.00 |
| 36415 |
Collection of venous blood by venipuncture |
71 |
66 |
$466.80 |
| 99307 |
|
197 |
196 |
$371.68 |
| H2021 |
Community-based wrap-around services, per 15 minutes |
895 |
273 |
$298.47 |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
12 |
12 |
$194.32 |
| 99334 |
|
200 |
192 |
$142.65 |
| T1001 |
Nursing assessment / evaluation |
105 |
92 |
$61.56 |
| G2078 |
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
42 |
24 |
$55.02 |
| 99347 |
|
22 |
21 |
$40.42 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
865 |
598 |
$36.38 |
| 96127 |
|
13 |
13 |
$31.78 |
| 2014F |
|
617 |
599 |
$25.00 |
| H0032 |
Mental health service plan development by non-physician |
651 |
349 |
$20.61 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
64 |
64 |
$5.72 |
| S9982 |
Medical records copying fee, per page |
27 |
27 |
$0.00 |
| S9981 |
Medical records copying fee, administrative |
208 |
200 |
$0.00 |
| S9976 |
Lodging, per diem, not otherwise classified |
82 |
23 |
$0.00 |
| H2023 |
Supported employment, per 15 minutes |
158 |
77 |
$0.00 |