| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
67,227 |
17,280 |
$4.69M |
| S9484 |
Crisis intervention mental health services, per hour |
15,665 |
6,098 |
$885K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
22,240 |
2,519 |
$773K |
| T1017 |
Targeted case management, each 15 minutes |
7,829 |
6,817 |
$652K |
| H0042 |
Foster care, child, non-therapeutic, per month |
594 |
578 |
$580K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
896 |
708 |
$115K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
212 |
168 |
$53K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
211 |
170 |
$27K |
| H2011 |
Crisis intervention service, per 15 minutes |
459 |
268 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,014 |
1,794 |
$24K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
442 |
94 |
$9K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
250 |
98 |
$8K |
| S9485 |
Crisis intervention mental health services, per diem |
12 |
12 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
61 |
26 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
146 |
132 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
420 |
247 |
$579.32 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
14 |
$254.12 |
| H0030 |
Behavioral health hotline service |
975 |
483 |
$0.00 |