| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
136,390 |
60,758 |
$5.53M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
36,426 |
17,596 |
$1.99M |
| H0031 |
Mental health assessment, by non-physician |
11,992 |
11,056 |
$1.89M |
| H0038 |
Self-help/peer services, per 15 minutes |
16,334 |
7,340 |
$780K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,712 |
9,088 |
$763K |
| H2010 |
Comprehensive medication services, per 15 minutes |
30,769 |
2,496 |
$479K |
| H2016 |
Comprehensive community support services, per diem |
1,438 |
779 |
$447K |
| H2020 |
Therapeutic behavioral services, per diem |
3,762 |
334 |
$432K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,561 |
2,122 |
$385K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,575 |
5,906 |
$338K |
| H0043 |
Supported housing, per diem |
330 |
329 |
$217K |
| H2027 |
Psychoeducational service, per 15 minutes |
3,944 |
1,847 |
$185K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
26,752 |
2,445 |
$107K |
| 99215 |
Prolong outpt/office vis |
638 |
614 |
$75K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,168 |
3,618 |
$64K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
334 |
132 |
$61K |
| H0001 |
Alcohol and/or drug assessment |
1,929 |
1,831 |
$54K |
| 90834 |
Psychotherapy, 45 minutes with patient |
747 |
549 |
$41K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
232 |
223 |
$37K |
| S5110 |
Home care training, family; per 15 minutes |
1,841 |
1,251 |
$36K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,475 |
980 |
$34K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
461 |
372 |
$23K |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,566 |
1,291 |
$19K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,523 |
1,265 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
508 |
446 |
$14K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
175 |
80 |
$9K |
| T1019 |
Personal care services, per 15 minutes, 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) |
3,268 |
307 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
446 |
427 |
$4K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
4,189 |
2,580 |
$3K |
| H2011 |
Crisis intervention service, per 15 minutes |
18 |
15 |
$3K |
| H2014 |
Skills training and development, per 15 minutes |
2,789 |
1,234 |
$3K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
141 |
120 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
153 |
61 |
$3K |
| 99000 |
|
276 |
255 |
$3K |
| 80305 |
|
157 |
131 |
$2K |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
1,413 |
1,196 |
$1K |
| 93000 |
|
40 |
39 |
$748.80 |
| H0034 |
Medication training and support, per 15 minutes |
207 |
77 |
$643.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
12 |
$241.10 |
| 94760 |
|
122 |
109 |
$240.14 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
96 |
$180.44 |
| 86580 |
|
39 |
25 |
$118.44 |
| 80354 |
|
154 |
136 |
$21.19 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
23 |
15 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
38 |
23 |
$0.00 |