| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
60,270 |
3,204 |
$11.35M |
| H0040 |
Assertive community treatment program, per diem |
71,228 |
2,526 |
$5.88M |
| H0038 |
Self-help/peer services, per 15 minutes |
13,084 |
2,583 |
$1.67M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
419 |
78 |
$198K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,763 |
643 |
$132K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
323 |
219 |
$99K |
| T1017 |
Targeted case management, each 15 minutes |
803 |
603 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
400 |
332 |
$26K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
2,154 |
899 |
$18K |
| H0031 |
Mental health assessment, by non-physician |
163 |
162 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
138 |
$8K |
| H0032 |
Mental health service plan development by non-physician |
187 |
130 |
$5K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
43 |
24 |
$404.60 |
| 80305 |
|
27 |
25 |
$136.08 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
14 |
$0.00 |