| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0037 |
Community psychiatric supportive treatment program, per diem |
215,602 |
205,317 |
$86.62M |
| 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 |
224,272 |
7,729 |
$29.39M |
| H0040 |
Assertive community treatment program, per diem |
24,819 |
21,596 |
$27.17M |
| 90834 |
Psychotherapy, 45 minutes with patient |
88,221 |
61,540 |
$5.80M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,928 |
41,788 |
$4.09M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
13,277 |
602 |
$3.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,011 |
35,405 |
$2.18M |
| S9485 |
Crisis intervention mental health services, per diem |
4,507 |
2,874 |
$1.69M |
| X0341 |
|
4,055 |
740 |
$1.33M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
431,405 |
108,945 |
$1.22M |
| 90832 |
Psychotherapy, 30 minutes with patient |
21,925 |
17,426 |
$1.06M |
| 90791 |
Psychiatric diagnostic evaluation |
8,555 |
7,951 |
$1.02M |
| 90837 |
Psychotherapy, 53 minutes with patient |
11,155 |
7,398 |
$796K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
10,787 |
7,924 |
$758K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
3,836 |
621 |
$720K |
| H0044 |
Supported housing, per month |
2,690 |
2,239 |
$704K |
| H0038 |
Self-help/peer services, per 15 minutes |
31,583 |
13,037 |
$683K |
| H2023 |
Supported employment, per 15 minutes |
7,106 |
3,320 |
$531K |
| H2018 |
Psychosocial rehabilitation services, per diem |
4,907 |
342 |
$502K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,930 |
1,644 |
$455K |
| H2011 |
Crisis intervention service, per 15 minutes |
2,531 |
1,674 |
$200K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,165 |
4,604 |
$138K |
| H0043 |
Supported housing, per diem |
67 |
65 |
$115K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
1,081 |
858 |
$76K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,023 |
642 |
$57K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,315 |
561 |
$39K |
| 99215 |
Prolong outpt/office vis |
203 |
197 |
$25K |
| 3074F |
|
1,340 |
1,236 |
$22K |
| 3078F |
|
1,162 |
1,070 |
$18K |
| 3079F |
|
349 |
324 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
62 |
$5K |
| 3075F |
|
211 |
189 |
$4K |
| 3077F |
|
175 |
159 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
77 |
$3K |
| 1036F |
|
421 |
393 |
$3K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
86 |
38 |
$3K |
| T1016 |
Case management, each 15 minutes |
398,852 |
114,715 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
33 |
$2K |
| 4004F |
|
528 |
453 |
$1K |
| 3080F |
|
26 |
26 |
$387.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
13 |
13 |
$0.00 |
| 4010F |
|
40 |
39 |
$0.00 |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
14 |
13 |
$0.00 |