| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
1,443 |
1,384 |
$1.85M |
| 99215 |
Prolong outpt/office vis |
93 |
85 |
$0.00 |
| H2023 |
Supported employment, per 15 minutes |
89 |
43 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
62 |
54 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
142 |
128 |
$0.00 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
2,776 |
954 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
275 |
155 |
$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 |
88 |
13 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
275 |
269 |
$0.00 |
| H0046 |
Mental health services, not otherwise specified |
3,724 |
996 |
$0.00 |
| 90836 |
|
18 |
17 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
52 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
408 |
294 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
23 |
18 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
30 |
29 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
143 |
67 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
249 |
141 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
36 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
174 |
$0.00 |