| Code | Description | Claims | Beneficiaries | Total Paid |
| H0017 |
Behavioral health; residential (hospital residential treatment program), without room and board, per diem |
10,259 |
2,555 |
$3.51M |
| H2011 |
Crisis intervention service, per 15 minutes |
19,516 |
15,889 |
$3.13M |
| H2014 |
Skills training and development, per 15 minutes |
5,365 |
1,645 |
$2.18M |
| 90837 |
Psychotherapy, 53 minutes with patient |
707 |
483 |
$135K |
| T1017 |
Targeted case management, each 15 minutes |
1,779 |
1,152 |
$118K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,079 |
723 |
$106K |
| 90791 |
Psychiatric diagnostic evaluation |
512 |
484 |
$82K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
1,393 |
1,176 |
$70K |
| 90832 |
Psychotherapy, 30 minutes with patient |
717 |
494 |
$42K |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
13 |
12 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
286 |
$24K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
3,207 |
750 |
$22K |
| H0032 |
Mental health service plan development by non-physician |
251 |
227 |
$10K |
| H2027 |
Psychoeducational service, per 15 minutes |
207 |
112 |
$7K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
177 |
160 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
405 |
305 |
$6K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
41 |
25 |
$4K |
| H0038 |
Self-help/peer services, per 15 minutes |
12 |
12 |
$655.20 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$195.45 |
| A0425 |
Ground mileage, per statute mile |
94 |
53 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
33 |
12 |
$0.00 |
| A0999 |
Unlisted ambulance service |
94 |
53 |
$0.00 |