| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
56,082 |
47,836 |
$20.63M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
26,794 |
23,038 |
$13.11M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
46,234 |
8,336 |
$9.11M |
| T1016 |
Case management, each 15 minutes |
26,892 |
23,788 |
$5.14M |
| 90837 |
Psychotherapy, 53 minutes with patient |
16,995 |
9,501 |
$4.85M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,909 |
15,496 |
$3.34M |
| H2011 |
Crisis intervention service, per 15 minutes |
10,984 |
8,640 |
$3.00M |
| H2016 |
Comprehensive community support services, per diem |
2,970 |
1,792 |
$2.98M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
7,465 |
7,449 |
$2.93M |
| H0032 |
Mental health service plan development by non-physician |
13,389 |
11,294 |
$2.87M |
| H0031 |
Mental health assessment, by non-physician |
8,200 |
8,123 |
$2.53M |
| H0043 |
Supported housing, per diem |
1,746 |
692 |
$2.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,444 |
8,222 |
$2.42M |
| H2015 |
Comprehensive community support services, per 15 minutes |
37,530 |
2,235 |
$2.16M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
9,570 |
9,422 |
$2.12M |
| S9484 |
Crisis intervention mental health services, per hour |
1,421 |
528 |
$2.03M |
| H0038 |
Self-help/peer services, per 15 minutes |
7,762 |
4,646 |
$1.98M |
| 90791 |
Psychiatric diagnostic evaluation |
4,197 |
4,166 |
$1.90M |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,964 |
6,679 |
$1.74M |
| S5111 |
Home care training, family; per session |
10,241 |
4,309 |
$1.55M |
| 99215 |
Prolong outpt/office vis |
3,364 |
3,322 |
$1.35M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,799 |
8,618 |
$1.21M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,168 |
8,972 |
$1.11M |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,707 |
6,089 |
$1.02M |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
2,667 |
1,529 |
$810K |
| H2000 |
Comprehensive multidisciplinary evaluation |
5,486 |
5,252 |
$571K |
| T1005 |
Respite care services, up to 15 minutes |
3,956 |
605 |
$475K |
| T1001 |
Nursing assessment / evaluation |
2,976 |
2,970 |
$424K |
| T2025 |
Waiver services; not otherwise specified (nos) |
3,126 |
3,107 |
$336K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
981 |
302 |
$310K |
| H2014 |
Skills training and development, per 15 minutes |
3,720 |
264 |
$218K |
| T2023 |
Targeted case management; per month |
290 |
290 |
$144K |
| S9976 |
Lodging, per diem, not otherwise classified |
116 |
114 |
$134K |
| 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 |
116 |
114 |
$97K |
| 99205 |
Prolong outpt/office vis |
255 |
255 |
$97K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
190 |
133 |
$93K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
125 |
91 |
$52K |
| 0365T |
|
371 |
32 |
$51K |
| H0045 |
Respite care services, not in the home, per diem |
167 |
124 |
$48K |
| H2023 |
Supported employment, per 15 minutes |
256 |
87 |
$47K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
101 |
55 |
$39K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
91 |
90 |
$26K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
27 |
14 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
92 |
$18K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
59 |
28 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
82 |
$12K |
| 0369T |
|
63 |
14 |
$9K |
| 0364T |
|
177 |
14 |
$5K |
| 0368T |
|
64 |
14 |
$4K |
| T1002 |
Rn services, up to 15 minutes |
14 |
13 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
21 |
$3K |
| 99201 |
|
14 |
14 |
$1K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
60,890 |
30,089 |
$738.09 |