| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
5,961 |
5,744 |
$26.40M |
| T2020 |
Day habilitation, waiver; per diem |
7,882 |
6,051 |
$7.66M |
| H2016 |
Comprehensive community support services, per diem |
87,463 |
24,838 |
$6.74M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
82,107 |
29,362 |
$5.20M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
45,430 |
2,723 |
$3.60M |
| T2031 |
Assisted living; waiver, per diem |
2,206 |
1,791 |
$2.90M |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
5,020 |
4,893 |
$2.72M |
| 90863 |
|
7,962 |
7,620 |
$1.20M |
| T2025 |
Waiver services; not otherwise specified (nos) |
5,038 |
4,894 |
$517K |
| T2014 |
Habilitation, prevocational, waiver; per diem |
5,022 |
4,895 |
$419K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,141 |
2,011 |
$412K |
| T2018 |
Habilitation, supported employment, waiver; per diem |
964 |
956 |
$331K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
5,048 |
4,894 |
$318K |
| H2012 |
Behavioral health day treatment, per hour |
1,146 |
524 |
$238K |
| W0037 |
|
3,112 |
3,112 |
$194K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,622 |
2,407 |
$93K |
| 90791 |
Psychiatric diagnostic evaluation |
393 |
350 |
$80K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,284 |
436 |
$71K |
| 99412 |
|
648 |
169 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
986 |
904 |
$25K |
| 99215 |
Prolong outpt/office vis |
46 |
34 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
44 |
23 |
$62.52 |
| 90834 |
Psychotherapy, 45 minutes with patient |
43 |
24 |
$0.00 |