| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
123,144 |
6,682 |
$22.52M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
177,543 |
70,701 |
$15.18M |
| H0040 |
Assertive community treatment program, per diem |
186,611 |
6,663 |
$15.10M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
15,587 |
3,018 |
$4.30M |
| Q3014 |
Telehealth originating site facility fee |
124,573 |
77,325 |
$2.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,109 |
44,979 |
$2.68M |
| H0031 |
Mental health assessment, by non-physician |
16,574 |
14,649 |
$2.55M |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
36,217 |
34,002 |
$2.22M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53,093 |
30,848 |
$1.76M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
11,589 |
11,085 |
$1.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,735 |
16,576 |
$1.36M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
2,719 |
1,806 |
$852K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13,966 |
9,717 |
$778K |
| H0032 |
Mental health service plan development by non-physician |
7,864 |
4,333 |
$639K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
2,182 |
286 |
$249K |
| 99215 |
Prolong outpt/office vis |
1,804 |
1,691 |
$182K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,597 |
3,386 |
$168K |
| H0038 |
Self-help/peer services, per 15 minutes |
2,573 |
969 |
$124K |
| T1017 |
Targeted case management, each 15 minutes |
2,706 |
1,925 |
$92K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
9,427 |
2,961 |
$70K |
| 81025 |
|
6,030 |
4,958 |
$47K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,254 |
2,814 |
$45K |
| H2011 |
Crisis intervention service, per 15 minutes |
422 |
392 |
$40K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
971 |
914 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
337 |
320 |
$21K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
2,158 |
935 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,785 |
3,439 |
$15K |
| 99205 |
Prolong outpt/office vis |
93 |
89 |
$8K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
377 |
115 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
134 |
104 |
$7K |
| T1016 |
Case management, each 15 minutes |
72 |
25 |
$4K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
53 |
37 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
24 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
12 |
$656.73 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
118 |
$0.00 |