| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
2,921,786 |
793,828 |
$751.96M |
| 90832 |
Psychotherapy, 30 minutes with patient |
222,097 |
116,542 |
$2.41M |
| 90834 |
Psychotherapy, 45 minutes with patient |
221,731 |
104,860 |
$2.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78,929 |
64,583 |
$998K |
| 90791 |
Psychiatric diagnostic evaluation |
38,625 |
32,753 |
$662K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111,399 |
86,312 |
$622K |
| 90837 |
Psychotherapy, 53 minutes with patient |
24,415 |
12,337 |
$375K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13,185 |
10,691 |
$312K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
28,192 |
13,841 |
$139K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,311 |
8,577 |
$50K |
| 96130 |
|
1,509 |
1,148 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,060 |
800 |
$20K |
| 96137 |
|
861 |
677 |
$18K |
| 96131 |
|
742 |
551 |
$12K |
| 99215 |
Prolong outpt/office vis |
478 |
428 |
$8K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,412 |
903 |
$6K |
| 96136 |
|
867 |
694 |
$5K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
182 |
149 |
$679.17 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
72 |
$200.97 |
| 99241 |
|
104 |
66 |
$31.14 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
176,876 |
39,643 |
$0.00 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
1,889,200 |
435,393 |
$0.00 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
51,052 |
12,218 |
$0.00 |
| H2015 |
Comprehensive community support services, per 15 minutes |
25,535 |
8,950 |
$0.00 |
| H0037 |
Community psychiatric supportive treatment program, per diem |
169,227 |
9,397 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
44,160 |
37,035 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
134 |
131 |
$0.00 |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
134 |
57 |
$0.00 |
| H2010 |
Comprehensive medication services, per 15 minutes |
3,988 |
3,467 |
$0.00 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
894 |
593 |
$0.00 |
| 96101 |
|
45 |
39 |
$0.00 |
| 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 |
148 |
14 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
47,280 |
17,040 |
$0.00 |
| H0040 |
Assertive community treatment program, per diem |
84,953 |
11,189 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
74,453 |
32,569 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
99,870 |
66,813 |
$0.00 |
| H2012 |
Behavioral health day treatment, per hour |
31,661 |
2,791 |
$0.00 |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
8,034 |
846 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
140,036 |
16,187 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
626 |
553 |
$0.00 |
| T1006 |
Alcohol and/or substance abuse services, family/couple counseling |
539 |
253 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
585 |
548 |
$0.00 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
62 |
62 |
$0.00 |