| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
78,056 |
17,318 |
$9.95M |
| 90837 |
Psychotherapy, 53 minutes with patient |
10,640 |
5,550 |
$258.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,148 |
1,060 |
$80.31 |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,242 |
2,818 |
$73.92 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
2,399 |
1,154 |
$57.52 |
| 96127 |
|
1,387 |
1,216 |
$13.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,528 |
3,019 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
4,131 |
1,140 |
$0.00 |
| 86580 |
|
76 |
48 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,112 |
975 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
1,881 |
1,073 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
2,107 |
756 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
14 |
13 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
135 |
108 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,497 |
1,114 |
$0.00 |
| 80305 |
|
1,934 |
807 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
13,272 |
2,703 |
$0.00 |
| T1017 |
Targeted case management, each 15 minutes |
5,609 |
2,314 |
$0.00 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
9,562 |
2,059 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
2,686 |
2,401 |
$0.00 |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
4,598 |
1,976 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
4,225 |
1,458 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
430 |
384 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
36 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$0.00 |
| 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 |
292 |
104 |
$0.00 |
| 90836 |
|
18 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
33 |
$0.00 |