| Code | Description | Claims | Beneficiaries | Total Paid |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
82,551 |
5,386 |
$8.43M |
| 99199 |
Unlisted special service, procedure or report |
19,182 |
3,752 |
$2.00M |
| T1016 |
Case management, each 15 minutes |
15,507 |
4,567 |
$1.19M |
| S9484 |
Crisis intervention mental health services, per hour |
7,973 |
2,487 |
$330K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,512 |
2,061 |
$214K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
9,115 |
644 |
$141K |
| T2015 |
Habilitation, prevocational, waiver; per hour |
1,187 |
113 |
$63K |
| T1017 |
Targeted case management, each 15 minutes |
1,494 |
901 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,466 |
1,706 |
$49K |
| S5170 |
Home delivered meals, including preparation; per meal |
1,966 |
155 |
$44K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
426 |
353 |
$42K |
| 99215 |
Prolong outpt/office vis |
1,057 |
725 |
$25K |
| T2003 |
Non-emergency transportation; encounter/trip |
989 |
117 |
$23K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,308 |
119 |
$20K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
33 |
25 |
$14K |
| H0030 |
Behavioral health hotline service |
346 |
200 |
$6K |
| T2013 |
Habilitation, educational, waiver; per hour |
65 |
27 |
$5K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
15 |
15 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
36 |
25 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
71 |
35 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
12 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
75 |
52 |
$718.21 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
26 |
12 |
$340.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$76.72 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
20 |
12 |
$0.00 |