| Code | Description | Claims | Beneficiaries | Total Paid |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
738,150 |
177,266 |
$213.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71,836 |
57,019 |
$287K |
| 90834 |
Psychotherapy, 45 minutes with patient |
34,872 |
18,630 |
$196K |
| 90791 |
Psychiatric diagnostic evaluation |
2,142 |
1,983 |
$40K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,739 |
1,515 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,446 |
1,314 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,837 |
2,602 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
399 |
386 |
$3K |
| 99215 |
Prolong outpt/office vis |
130 |
121 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,023 |
1,906 |
$1K |
| 90839 |
|
58 |
58 |
$770.25 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,079 |
719 |
$40.66 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
72,036 |
11,841 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
10,769 |
3,975 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
47,593 |
20,319 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
8,138 |
3,975 |
$0.00 |
| 99406 |
|
39 |
39 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
15,882 |
11,192 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
402 |
372 |
$0.00 |
| H2012 |
Behavioral health day treatment, per hour |
22,862 |
832 |
$0.00 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,806 |
323 |
$0.00 |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
66 |
14 |
$0.00 |
| T1017 |
Targeted case management, each 15 minutes |
11,723 |
3,974 |
$0.00 |
| H2015 |
Comprehensive community support services, per 15 minutes |
22,632 |
6,424 |
$0.00 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
475,270 |
109,570 |
$0.00 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
29,548 |
6,196 |
$0.00 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
160,263 |
15,933 |
$0.00 |
| 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 |
1,574 |
431 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
9,738 |
8,495 |
$0.00 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
3,668 |
2,622 |
$0.00 |
| H2010 |
Comprehensive medication services, per 15 minutes |
104,511 |
61,772 |
$0.00 |
| H0037 |
Community psychiatric supportive treatment program, per diem |
113,940 |
5,202 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
271 |
165 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
92 |
58 |
$0.00 |