| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
26 |
26 |
$81K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
5,583 |
3,096 |
$79K |
| 90837 |
Psychotherapy, 53 minutes with patient |
9,877 |
5,893 |
$73K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,763 |
4,179 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,911 |
2,728 |
$21K |
| 96165 |
|
2,319 |
668 |
$13K |
| H2011 |
Crisis intervention service, per 15 minutes |
6,561 |
2,291 |
$12K |
| 96164 |
|
3,276 |
883 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
671 |
653 |
$5K |
| 96153 |
|
3,317 |
874 |
$3K |
| 99215 |
Prolong outpt/office vis |
67 |
62 |
$2K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
2,506 |
1,669 |
$2K |
| H2012 |
Behavioral health day treatment, per hour |
696 |
82 |
$1K |
| 80305 |
|
940 |
436 |
$1K |
| H0046 |
Mental health services, not otherwise specified |
2,434 |
2,023 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
185 |
181 |
$732.45 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
127 |
$440.28 |
| H2015 |
Comprehensive community support services, per 15 minutes |
3,877 |
1,981 |
$416.28 |
| H0038 |
Self-help/peer services, per 15 minutes |
651 |
221 |
$233.70 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
40 |
33 |
$214.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
39 |
38 |
$177.32 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,421 |
689 |
$101.53 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
180 |
149 |
$100.00 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
706 |
181 |
$28.00 |
| H0032 |
Mental health service plan development by non-physician |
308 |
149 |
$0.32 |
| T1001 |
Nursing assessment / evaluation |
345 |
318 |
$0.10 |
| T1016 |
Case management, each 15 minutes |
59 |
25 |
$0.00 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
42 |
27 |
$0.00 |
| H2021 |
Community-based wrap-around services, per 15 minutes |
201 |
65 |
$0.00 |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
18 |
12 |
$0.00 |