| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
250,705 |
164,087 |
$77.53M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
129,468 |
41,150 |
$39.54M |
| 90837 |
Psychotherapy, 53 minutes with patient |
83,949 |
47,534 |
$22.51M |
| H2015 |
Comprehensive community support services, per 15 minutes |
278,727 |
26,719 |
$18.46M |
| H0031 |
Mental health assessment, by non-physician |
25,871 |
25,030 |
$18.44M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
17,214 |
14,543 |
$16.39M |
| H2016 |
Comprehensive community support services, per diem |
146,956 |
5,119 |
$15.99M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
26,014 |
3,825 |
$14.47M |
| H2014 |
Skills training and development, per 15 minutes |
111,735 |
9,183 |
$11.91M |
| H0043 |
Supported housing, per diem |
36,993 |
1,349 |
$11.11M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
53,108 |
4,843 |
$9.55M |
| T1020 |
Personal care services, per diem, 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) |
147,194 |
5,126 |
$9.23M |
| 90834 |
Psychotherapy, 45 minutes with patient |
39,357 |
26,728 |
$8.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,719 |
34,755 |
$6.92M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
27,640 |
16,266 |
$6.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,936 |
22,381 |
$6.51M |
| H2030 |
Mental health clubhouse services, per 15 minutes |
27,677 |
4,140 |
$5.70M |
| 90791 |
Psychiatric diagnostic evaluation |
7,738 |
7,668 |
$4.97M |
| H2011 |
Crisis intervention service, per 15 minutes |
9,859 |
7,018 |
$4.56M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
26,973 |
9,242 |
$4.48M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46,740 |
33,967 |
$4.24M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,363 |
4,310 |
$3.94M |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
20,556 |
1,316 |
$3.84M |
| H2022 |
Community-based wrap-around services, per diem |
4,722 |
2,591 |
$3.71M |
| 90832 |
Psychotherapy, 30 minutes with patient |
19,611 |
14,332 |
$3.70M |
| T1016 |
Case management, each 15 minutes |
10,928 |
10,092 |
$3.36M |
| H0032 |
Mental health service plan development by non-physician |
9,732 |
7,536 |
$3.13M |
| H0038 |
Self-help/peer services, per 15 minutes |
19,686 |
9,426 |
$3.07M |
| H2023 |
Supported employment, per 15 minutes |
4,628 |
2,378 |
$2.98M |
| T1002 |
Rn services, up to 15 minutes |
6,307 |
5,458 |
$2.73M |
| S9976 |
Lodging, per diem, not otherwise classified |
48,769 |
5,132 |
$2.34M |
| T2027 |
Specialized childcare, waiver; per 15 minutes |
60,816 |
1,146 |
$2.34M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
8,197 |
3,802 |
$2.17M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
5,112 |
1,620 |
$2.00M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
5,711 |
3,197 |
$1.99M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
6,678 |
1,582 |
$1.97M |
| S5111 |
Home care training, family; per session |
4,632 |
2,220 |
$1.13M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
1,708 |
987 |
$964K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
2,542 |
1,915 |
$616K |
| H0001 |
Alcohol and/or drug assessment |
3,469 |
3,462 |
$550K |
| 97803 |
|
2,850 |
2,785 |
$467K |
| T1001 |
Nursing assessment / evaluation |
723 |
719 |
$465K |
| T1005 |
Respite care services, up to 15 minutes |
1,357 |
292 |
$382K |
| 96116 |
|
805 |
793 |
$353K |
| 97802 |
|
1,187 |
1,182 |
$281K |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
710 |
318 |
$281K |
| 99215 |
Prolong outpt/office vis |
1,000 |
940 |
$258K |
| S9470 |
Nutritional counseling, dietitian visit |
1,314 |
780 |
$222K |
| H2000 |
Comprehensive multidisciplinary evaluation |
506 |
481 |
$200K |
| T2023 |
Targeted case management; per month |
947 |
927 |
$179K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
3,053 |
2,929 |
$168K |
| H0006 |
Alcohol and/or drug services; case management |
2,859 |
2,396 |
$128K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
673 |
647 |
$105K |
| 92526 |
|
1,189 |
1,110 |
$72K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
221 |
112 |
$70K |
| 96130 |
|
148 |
147 |
$63K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
122 |
121 |
$48K |
| 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) |
699 |
169 |
$47K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
361 |
360 |
$42K |
| 96101 |
|
40 |
40 |
$42K |
| G0177 |
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
59 |
40 |
$39K |
| 92523 |
|
142 |
142 |
$33K |
| 97168 |
|
208 |
205 |
$30K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
160 |
160 |
$21K |
| 90887 |
|
227 |
227 |
$21K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
489 |
278 |
$20K |
| H0034 |
Medication training and support, per 15 minutes |
86 |
61 |
$19K |
| 96112 |
|
27 |
25 |
$14K |
| S5116 |
Home care training, non-family; per session |
193 |
85 |
$13K |
| 92609 |
|
152 |
70 |
$8K |
| 99348 |
|
50 |
50 |
$8K |
| 92610 |
|
35 |
35 |
$6K |
| 99335 |
|
45 |
40 |
$5K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
57 |
34 |
$2K |
| 97165 |
|
15 |
13 |
$2K |
| 99336 |
|
38 |
37 |
$810.31 |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
369,678 |
141,025 |
$0.00 |