| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
67,573 |
49,347 |
$14.71M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
49,140 |
6,096 |
$12.34M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
66,980 |
8,148 |
$11.98M |
| 90837 |
Psychotherapy, 53 minutes with patient |
71,165 |
45,646 |
$10.76M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
25,386 |
22,659 |
$9.89M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
19,388 |
4,751 |
$6.15M |
| H0032 |
Mental health service plan development by non-physician |
39,224 |
30,341 |
$5.93M |
| H0031 |
Mental health assessment, by non-physician |
27,978 |
25,046 |
$4.27M |
| 90834 |
Psychotherapy, 45 minutes with patient |
35,102 |
26,822 |
$3.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,105 |
34,666 |
$3.54M |
| H2011 |
Crisis intervention service, per 15 minutes |
11,532 |
6,056 |
$3.52M |
| H2030 |
Mental health clubhouse services, per 15 minutes |
76,345 |
4,783 |
$3.47M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
5,134 |
1,545 |
$3.23M |
| 90791 |
Psychiatric diagnostic evaluation |
7,735 |
7,312 |
$2.64M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,293 |
17,076 |
$2.35M |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
6,548 |
5,199 |
$1.62M |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,961 |
17,341 |
$1.44M |
| S9976 |
Lodging, per diem, not otherwise classified |
42,715 |
5,050 |
$1.15M |
| T1016 |
Case management, each 15 minutes |
4,056 |
2,937 |
$828K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,809 |
2,804 |
$653K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
3,282 |
1,263 |
$513K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,079 |
8,538 |
$495K |
| H0038 |
Self-help/peer services, per 15 minutes |
10,022 |
5,339 |
$491K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
6,579 |
6,098 |
$398K |
| 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 |
4,609 |
733 |
$381K |
| 99215 |
Prolong outpt/office vis |
2,479 |
2,411 |
$369K |
| T2003 |
Non-emergency transportation; encounter/trip |
4,342 |
2,795 |
$347K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,944 |
578 |
$344K |
| H0001 |
Alcohol and/or drug assessment |
2,199 |
2,191 |
$228K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,210 |
1,949 |
$189K |
| T1001 |
Nursing assessment / evaluation |
1,680 |
1,675 |
$178K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,060 |
843 |
$173K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,052 |
7,172 |
$171K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
1,538 |
305 |
$154K |
| S5111 |
Home care training, family; per session |
861 |
339 |
$134K |
| H2023 |
Supported employment, per 15 minutes |
988 |
602 |
$134K |
| H0006 |
Alcohol and/or drug services; case management |
1,342 |
601 |
$101K |
| 99205 |
Prolong outpt/office vis |
537 |
536 |
$94K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
474 |
466 |
$53K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
1,797 |
1,738 |
$52K |
| T1002 |
Rn services, up to 15 minutes |
933 |
879 |
$40K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
292 |
256 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
330 |
322 |
$31K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
210 |
163 |
$26K |
| 80305 |
|
2,295 |
1,844 |
$21K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
182 |
65 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
84 |
84 |
$6K |
| 99201 |
|
73 |
72 |
$4K |
| 99442 |
|
88 |
88 |
$3K |
| 99443 |
|
70 |
70 |
$3K |
| 99406 |
|
26 |
22 |
$145.31 |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
13,401 |
6,631 |
$134.01 |