| Code | Description | Claims | Beneficiaries | Total Paid |
| H2010 |
Comprehensive medication services, per 15 minutes |
152,258 |
10,754 |
$1.73M |
| T1002 |
Rn services, up to 15 minutes |
41,722 |
5,886 |
$839K |
| T1016 |
Case management, each 15 minutes |
38,185 |
11,495 |
$638K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
40,773 |
8,558 |
$450K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
135,645 |
10,723 |
$404K |
| H0031 |
Mental health assessment, by non-physician |
2,660 |
2,522 |
$325K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,715 |
3,308 |
$287K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
8,131 |
4,060 |
$133K |
| S0215 |
Non-emergency transportation; mileage, per mile |
4,553 |
573 |
$132K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
450 |
449 |
$113K |
| H0038 |
Self-help/peer services, per 15 minutes |
5,698 |
2,618 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,062 |
2,546 |
$106K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,537 |
573 |
$45K |
| 99215 |
Prolong outpt/office vis |
779 |
772 |
$41K |
| H0033 |
Oral medication administration, direct observation |
1,099 |
86 |
$21K |
| H2014 |
Skills training and development, per 15 minutes |
2,477 |
663 |
$9K |
| H2027 |
Psychoeducational service, per 15 minutes |
395 |
189 |
$8K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
1,569 |
379 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
189 |
160 |
$892.64 |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
34 |
17 |
$690.54 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
13 |
13 |
$425.17 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$183.46 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
64 |
59 |
$79.12 |