| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
54,406 |
10,979 |
$12.12M |
| H0038 |
Self-help/peer services, per 15 minutes |
4,310 |
1,590 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
170 |
150 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,239 |
1,032 |
$0.00 |
| 99406 |
|
518 |
432 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
2,478 |
2,077 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
828 |
667 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
1,345 |
1,011 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
71 |
64 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
492 |
450 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
580 |
374 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
798 |
767 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
43 |
39 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
40 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
598 |
586 |
$0.00 |
| 80305 |
|
11,302 |
2,922 |
$0.00 |
| T1017 |
Targeted case management, each 15 minutes |
1,925 |
1,107 |
$0.00 |
| 99490 |
Ccm add 20min |
2,317 |
1,911 |
$0.00 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
6,466 |
1,982 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
4,256 |
1,556 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
3,598 |
1,291 |
$0.00 |
| 80306 |
|
15,562 |
4,056 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
397 |
346 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
10,296 |
5,032 |
$0.00 |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
7,332 |
3,409 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
159 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
12 |
$0.00 |
| 99201 |
|
31 |
30 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
367 |
262 |
$-196.14 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
3,925 |
1,724 |
$-196.14 |