| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
85,935 |
48,239 |
$4.45M |
| H0031 |
Mental health assessment, by non-physician |
8,490 |
7,839 |
$1.23M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
16,921 |
9,902 |
$971K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,897 |
8,275 |
$614K |
| H0038 |
Self-help/peer services, per 15 minutes |
13,839 |
5,360 |
$420K |
| H2016 |
Comprehensive community support services, per diem |
503 |
265 |
$158K |
| 99215 |
Prolong outpt/office vis |
824 |
774 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,710 |
1,511 |
$81K |
| H2027 |
Psychoeducational service, per 15 minutes |
1,094 |
639 |
$53K |
| 90837 |
Psychotherapy, 53 minutes with patient |
322 |
225 |
$39K |
| H0001 |
Alcohol and/or drug assessment |
1,077 |
1,058 |
$28K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,169 |
948 |
$24K |
| S5110 |
Home care training, family; per 15 minutes |
1,282 |
834 |
$22K |
| H0043 |
Supported housing, per diem |
13 |
13 |
$8K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,357 |
804 |
$8K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,346 |
790 |
$8K |
| 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 |
42 |
13 |
$8K |
| H0034 |
Medication training and support, per 15 minutes |
1,056 |
781 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
43 |
38 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
218 |
208 |
$7K |
| 99000 |
|
452 |
410 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
345 |
338 |
$3K |
| H2014 |
Skills training and development, per 15 minutes |
1,849 |
871 |
$2K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
165 |
144 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
144 |
120 |
$2K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
2,412 |
1,637 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
323 |
314 |
$991.13 |
| 82947 |
|
97 |
94 |
$379.94 |
| 94760 |
|
19 |
19 |
$55.62 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
53 |
41 |
$37.87 |
| T1019 |
Personal care services, per 15 minutes, 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) |
57 |
27 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
64 |
37 |
$0.00 |