| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
29,317 |
14,853 |
$1.73M |
| T1016 |
Case management, each 15 minutes |
57,983 |
22,239 |
$1.03M |
| H0031 |
Mental health assessment, by non-physician |
5,005 |
4,077 |
$574K |
| H2010 |
Comprehensive medication services, per 15 minutes |
44,215 |
4,712 |
$529K |
| T1002 |
Rn services, up to 15 minutes |
30,808 |
5,581 |
$478K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
85,198 |
4,718 |
$288K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,175 |
5,719 |
$282K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,032 |
1,013 |
$65K |
| H2014 |
Skills training and development, per 15 minutes |
6,357 |
1,494 |
$56K |
| 99215 |
Prolong outpt/office vis |
396 |
384 |
$45K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
207 |
207 |
$37K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,320 |
558 |
$33K |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,843 |
1,124 |
$12K |
| H0033 |
Oral medication administration, direct observation |
293 |
26 |
$6K |
| H2027 |
Psychoeducational service, per 15 minutes |
212 |
129 |
$4K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
161 |
111 |
$3K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,672 |
832 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
336 |
313 |
$941.06 |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
5,762 |
1,470 |
$791.69 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
14 |
14 |
$139.92 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
242 |
177 |
$19.10 |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
17 |
14 |
$13.05 |
| A0100 |
Non-emergency transportation; taxi |
894 |
319 |
$0.00 |