| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
55,900 |
21,064 |
$1.62M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
19,028 |
9,901 |
$1.45M |
| H0031 |
Mental health assessment, by non-physician |
2,781 |
2,708 |
$340K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,739 |
3,429 |
$135K |
| H2014 |
Skills training and development, per 15 minutes |
4,161 |
1,576 |
$93K |
| S0215 |
Non-emergency transportation; mileage, per mile |
4,852 |
2,032 |
$73K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,410 |
653 |
$68K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,595 |
664 |
$31K |
| 99215 |
Prolong outpt/office vis |
353 |
312 |
$23K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
116 |
110 |
$18K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
1,395 |
428 |
$15K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,062 |
1,612 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
491 |
460 |
$8K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
190 |
189 |
$6K |
| T1002 |
Rn services, up to 15 minutes |
396 |
339 |
$5K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
1,336 |
633 |
$1K |
| A0100 |
Non-emergency transportation; taxi |
769 |
415 |
$873.10 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
199 |
177 |
$522.23 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
27 |
$234.17 |
| H2027 |
Psychoeducational service, per 15 minutes |
53 |
31 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
13 |
12 |
$0.00 |