| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assertive community treatment program, per diem |
57,993 |
8,795 |
$12.47M |
| H2022 |
Community-based wrap-around services, per diem |
17,952 |
1,796 |
$4.66M |
| H2015 |
Comprehensive community support services, per 15 minutes |
13,499 |
2,382 |
$2.60M |
| H0038 |
Self-help/peer services, per 15 minutes |
16,124 |
2,233 |
$2.54M |
| T1017 |
Targeted case management, each 15 minutes |
1,503 |
1,403 |
$419K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,595 |
3,442 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,623 |
1,566 |
$118K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,495 |
2,110 |
$101K |
| 90791 |
Psychiatric diagnostic evaluation |
608 |
590 |
$56K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
296 |
295 |
$27K |
| 90837 |
Psychotherapy, 53 minutes with patient |
146 |
110 |
$11K |
| 98968 |
|
149 |
131 |
$4K |
| 99442 |
|
91 |
86 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
26 |
26 |
$552.50 |
| 98967 |
|
13 |
13 |
$288.08 |