| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0037 |
Community psychiatric supportive treatment program, per diem |
37,437 |
34,701 |
$14.45M |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
4,535 |
2,253 |
$8.53M |
| H0040 |
Assertive community treatment program, per diem |
6,270 |
5,587 |
$6.88M |
| S9485 |
Crisis intervention mental health services, per diem |
7,160 |
4,405 |
$3.90M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
92,383 |
30,878 |
$2.55M |
| 90834 |
Psychotherapy, 45 minutes with patient |
24,465 |
14,055 |
$1.45M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
568 |
333 |
$1.37M |
| T1027 |
Family training and counseling for child development, per 15 minutes |
7,665 |
3,411 |
$834K |
| H2023 |
Supported employment, per 15 minutes |
10,870 |
4,066 |
$768K |
| X0377 |
|
11,750 |
1,977 |
$743K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,768 |
13,722 |
$581K |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
4,916 |
1,664 |
$535K |
| X0341 |
|
282 |
207 |
$369K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
4,271 |
403 |
$364K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,966 |
1,006 |
$359K |
| 99502 |
|
2,382 |
2,020 |
$289K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,014 |
3,156 |
$253K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
12,412 |
9,659 |
$251K |
| 90791 |
Psychiatric diagnostic evaluation |
5,272 |
4,371 |
$221K |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
479 |
158 |
$203K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
450 |
394 |
$188K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
2,244 |
195 |
$148K |
| T2031 |
Assisted living; waiver, per diem |
237 |
196 |
$143K |
| 99600 |
Unlisted home visit service or procedure |
720 |
358 |
$133K |
| H2014 |
Skills training and development, per 15 minutes |
1,365 |
380 |
$124K |
| T1016 |
Case management, each 15 minutes |
36,003 |
13,410 |
$95K |
| 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 |
653 |
138 |
$94K |
| H2000 |
Comprehensive multidisciplinary evaluation |
98 |
89 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,278 |
1,047 |
$84K |
| H2011 |
Crisis intervention service, per 15 minutes |
4,102 |
3,522 |
$78K |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
215 |
51 |
$75K |
| 99501 |
|
159 |
149 |
$59K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,705 |
897 |
$53K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,463 |
3,848 |
$35K |
| 90837 |
Psychotherapy, 53 minutes with patient |
663 |
249 |
$34K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
306 |
218 |
$28K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
75 |
66 |
$16K |
| H0044 |
Supported housing, per month |
39 |
36 |
$13K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
26 |
25 |
$11K |
| H0038 |
Self-help/peer services, per 15 minutes |
6,129 |
2,139 |
$9K |
| H0001 |
Alcohol and/or drug assessment |
57 |
56 |
$5K |
| X0301 |
|
49 |
25 |
$5K |
| H0046 |
Mental health services, not otherwise specified |
49,569 |
11,030 |
$848.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
18 |
$495.60 |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
339 |
282 |
$0.00 |
| H0006 |
Alcohol and/or drug services; case management |
120 |
91 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
307 |
101 |
$0.00 |