| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
304,948 |
230,762 |
$44.34M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
155,611 |
38,149 |
$34.67M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
113,162 |
15,542 |
$14.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93,302 |
85,398 |
$10.61M |
| H0032 |
Mental health service plan development by non-physician |
63,623 |
53,488 |
$9.10M |
| 90834 |
Psychotherapy, 45 minutes with patient |
61,837 |
44,630 |
$6.37M |
| 90837 |
Psychotherapy, 53 minutes with patient |
39,142 |
27,642 |
$5.77M |
| H0031 |
Mental health assessment, by non-physician |
19,435 |
18,887 |
$4.84M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15,357 |
14,707 |
$4.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,532 |
33,981 |
$4.09M |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
12,441 |
9,514 |
$4.07M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
424,170 |
179,531 |
$3.95M |
| T1002 |
Rn services, up to 15 minutes |
30,302 |
27,128 |
$3.87M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
44,294 |
15,454 |
$3.39M |
| 90791 |
Psychiatric diagnostic evaluation |
22,559 |
20,923 |
$3.09M |
| 90832 |
Psychotherapy, 30 minutes with patient |
39,708 |
28,072 |
$2.98M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
18,942 |
13,339 |
$2.47M |
| H0038 |
Self-help/peer services, per 15 minutes |
19,369 |
11,412 |
$2.35M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
25,520 |
2,019 |
$2.15M |
| H2016 |
Comprehensive community support services, per diem |
6,797 |
731 |
$2.01M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28,299 |
22,902 |
$1.86M |
| H2023 |
Supported employment, per 15 minutes |
9,705 |
5,064 |
$1.80M |
| H2022 |
Community-based wrap-around services, per diem |
3,861 |
2,343 |
$1.48M |
| T1005 |
Respite care services, up to 15 minutes |
13,615 |
1,900 |
$1.40M |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
6,769 |
731 |
$1.37M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
945 |
882 |
$1.14M |
| H2011 |
Crisis intervention service, per 15 minutes |
2,964 |
2,387 |
$1.06M |
| S5111 |
Home care training, family; per session |
2,869 |
1,970 |
$925K |
| 0365T |
|
4,832 |
343 |
$739K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,421 |
6,080 |
$727K |
| H2030 |
Mental health clubhouse services, per 15 minutes |
34,832 |
3,357 |
$717K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
3,668 |
879 |
$683K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
1,691 |
969 |
$665K |
| H0043 |
Supported housing, per diem |
3,466 |
221 |
$594K |
| 99215 |
Prolong outpt/office vis |
3,218 |
3,020 |
$479K |
| T1001 |
Nursing assessment / evaluation |
1,750 |
1,746 |
$434K |
| H2015 |
Comprehensive community support services, per 15 minutes |
6,232 |
824 |
$368K |
| H2000 |
Comprehensive multidisciplinary evaluation |
2,621 |
1,588 |
$301K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,941 |
2,744 |
$287K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
6,740 |
2,048 |
$261K |
| 0364T |
|
4,570 |
347 |
$199K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
1,219 |
1,019 |
$188K |
| 96113 |
|
632 |
389 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,063 |
1,046 |
$157K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
775 |
745 |
$152K |
| 0369T |
|
988 |
334 |
$150K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,255 |
775 |
$122K |
| 90849 |
|
1,248 |
629 |
$114K |
| 0368T |
|
1,138 |
343 |
$86K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,376 |
703 |
$84K |
| 96112 |
|
389 |
389 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
389 |
383 |
$66K |
| 97156 |
|
2,145 |
1,241 |
$59K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,397 |
3,305 |
$53K |
| T2038 |
Community transition, waiver; per service |
120 |
105 |
$53K |
| H2014 |
Skills training and development, per 15 minutes |
526 |
151 |
$43K |
| 97151 |
|
206 |
199 |
$32K |
| 99205 |
Prolong outpt/office vis |
84 |
83 |
$23K |
| H0046 |
Mental health services, not otherwise specified |
51 |
41 |
$16K |
| 90785 |
|
1,793 |
1,738 |
$6K |
| 96127 |
|
418 |
352 |
$5K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
60 |
60 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
79 |
50 |
$3K |
| 99201 |
|
17 |
17 |
$3K |
| 0359T |
|
12 |
12 |
$3K |
| 0370T |
|
14 |
14 |
$2K |
| 90839 |
|
55 |
36 |
$55.00 |