| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
313,782 |
60,991 |
$539K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,606 |
16,014 |
$144K |
| H0031 |
Mental health assessment, by non-physician |
4,998 |
4,556 |
$66K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
11,470 |
6,299 |
$40K |
| 99215 |
Prolong outpt/office vis |
2,414 |
2,048 |
$36K |
| T1002 |
Rn services, up to 15 minutes |
14,505 |
10,491 |
$25K |
| H2014 |
Skills training and development, per 15 minutes |
4,373 |
1,497 |
$12K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
3,409 |
2,944 |
$10K |
| H2027 |
Psychoeducational service, per 15 minutes |
5,684 |
3,747 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,526 |
2,385 |
$8K |
| H0038 |
Self-help/peer services, per 15 minutes |
2,609 |
1,480 |
$5K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
258 |
193 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
170 |
162 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
71 |
69 |
$2K |
| 93000 |
|
1,707 |
1,662 |
$2K |
| S0215 |
Non-emergency transportation; mileage, per mile |
123 |
106 |
$913.66 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
218 |
126 |
$754.21 |
| 90837 |
Psychotherapy, 53 minutes with patient |
239 |
160 |
$748.06 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
66 |
$329.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
103 |
$305.10 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
103 |
90 |
$238.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
230 |
212 |
$124.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
24 |
$121.21 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
58 |
$92.28 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
25 |
$82.11 |
| 36415 |
Collection of venous blood by venipuncture |
2,133 |
1,900 |
$77.50 |
| 90834 |
Psychotherapy, 45 minutes with patient |
53 |
39 |
$70.78 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
70 |
35 |
$61.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
19 |
$21.39 |
| 90832 |
Psychotherapy, 30 minutes with patient |
63 |
38 |
$10.60 |
| 80305 |
|
104 |
64 |
$0.00 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
59 |
30 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
23 |
13 |
$0.00 |
| S5110 |
Home care training, family; per 15 minutes |
18 |
15 |
$0.00 |