| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
364,563 |
166,890 |
$79.15M |
| T1017 |
Targeted case management, each 15 minutes |
226,419 |
164,434 |
$63.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78,749 |
73,754 |
$23.43M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
54,600 |
10,470 |
$15.71M |
| T1016 |
Case management, each 15 minutes |
47,695 |
39,342 |
$12.37M |
| 90837 |
Psychotherapy, 53 minutes with patient |
34,046 |
21,310 |
$8.57M |
| 90834 |
Psychotherapy, 45 minutes with patient |
51,114 |
37,053 |
$8.29M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
10,755 |
10,682 |
$7.77M |
| 90791 |
Psychiatric diagnostic evaluation |
16,560 |
16,094 |
$7.25M |
| H2030 |
Mental health clubhouse services, per 15 minutes |
38,157 |
4,754 |
$7.22M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
15,845 |
4,963 |
$5.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,467 |
21,461 |
$5.34M |
| H0031 |
Mental health assessment, by non-physician |
15,232 |
14,861 |
$5.14M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
9,423 |
6,152 |
$5.12M |
| H2011 |
Crisis intervention service, per 15 minutes |
11,121 |
4,626 |
$5.01M |
| S5111 |
Home care training, family; per session |
23,591 |
10,808 |
$4.98M |
| H0032 |
Mental health service plan development by non-physician |
23,160 |
21,752 |
$3.75M |
| H2015 |
Comprehensive community support services, per 15 minutes |
27,727 |
1,574 |
$3.70M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
9,675 |
2,399 |
$3.46M |
| H0038 |
Self-help/peer services, per 15 minutes |
16,187 |
8,871 |
$3.24M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23,294 |
20,468 |
$3.08M |
| 99215 |
Prolong outpt/office vis |
5,765 |
4,810 |
$2.75M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
7,487 |
2,332 |
$2.60M |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,866 |
16,050 |
$2.56M |
| T1005 |
Respite care services, up to 15 minutes |
19,084 |
1,479 |
$1.71M |
| T2023 |
Targeted case management; per month |
3,477 |
3,416 |
$1.71M |
| H2022 |
Community-based wrap-around services, per diem |
4,599 |
1,442 |
$1.58M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
7,356 |
3,311 |
$1.40M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,566 |
1,908 |
$437K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,473 |
2,376 |
$432K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,080 |
1,045 |
$379K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
4,920 |
1,209 |
$348K |
| 99443 |
|
1,273 |
1,235 |
$344K |
| T1002 |
Rn services, up to 15 minutes |
2,556 |
2,362 |
$328K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,162 |
1,088 |
$288K |
| S5116 |
Home care training, non-family; per session |
993 |
778 |
$192K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
791 |
576 |
$158K |
| T2025 |
Waiver services; not otherwise specified (nos) |
1,196 |
1,196 |
$126K |
| H0034 |
Medication training and support, per 15 minutes |
680 |
401 |
$83K |
| 99442 |
|
271 |
266 |
$69K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
589 |
551 |
$69K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,164 |
263 |
$68K |
| T1001 |
Nursing assessment / evaluation |
200 |
200 |
$67K |
| 99441 |
|
284 |
279 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
160 |
$57K |
| H2000 |
Comprehensive multidisciplinary evaluation |
171 |
146 |
$26K |
| Q3014 |
Telehealth originating site facility fee |
197 |
174 |
$18K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
315 |
68 |
$15K |
| 96127 |
|
73 |
73 |
$14K |
| 96113 |
|
91 |
59 |
$14K |
| 96112 |
|
53 |
53 |
$13K |
| 96101 |
|
31 |
29 |
$10K |
| 97124 |
|
121 |
42 |
$5K |
| 96130 |
|
12 |
12 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
17 |
16 |
$4K |