| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
58,278 |
56,027 |
$19.31M |
| H2022 |
Community-based wrap-around services, per diem |
2,267 |
1,939 |
$15.61M |
| T1017 |
Targeted case management, each 15 minutes |
28,432 |
28,362 |
$9.78M |
| H0046 |
Mental health services, not otherwise specified |
55,374 |
5,781 |
$5.30M |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
45,081 |
3,864 |
$3.81M |
| 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 |
12,900 |
1,767 |
$2.77M |
| H0040 |
Assertive community treatment program, per diem |
12,729 |
1,755 |
$2.27M |
| 90837 |
Psychotherapy, 53 minutes with patient |
19,772 |
12,039 |
$1.81M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
32,308 |
4,317 |
$1.52M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
1,946 |
1,486 |
$1.22M |
| T2023 |
Targeted case management; per month |
3,264 |
3,264 |
$838K |
| H2011 |
Crisis intervention service, per 15 minutes |
978 |
580 |
$727K |
| 90791 |
Psychiatric diagnostic evaluation |
4,221 |
3,958 |
$418K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,202 |
7,937 |
$349K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
4,987 |
3,177 |
$314K |
| H2012 |
Behavioral health day treatment, per hour |
2,471 |
507 |
$274K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
1,739 |
1,060 |
$262K |
| 99490 |
Ccm add 20min |
4,376 |
4,233 |
$248K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,753 |
2,970 |
$233K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,090 |
3,114 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,866 |
3,174 |
$183K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,326 |
4,867 |
$164K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
7,404 |
470 |
$115K |
| Q3014 |
Telehealth originating site facility fee |
3,759 |
3,527 |
$83K |
| H0032 |
Mental health service plan development by non-physician |
820 |
638 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,501 |
2,606 |
$28K |
| 80305 |
|
3,697 |
1,576 |
$28K |
| H0006 |
Alcohol and/or drug services; case management |
150 |
92 |
$18K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
146 |
88 |
$6K |
| 99215 |
Prolong outpt/office vis |
46 |
42 |
$5K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
61 |
52 |
$4K |
| 99205 |
Prolong outpt/office vis |
61 |
51 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
95 |
38 |
$2K |
| 90889 |
|
16 |
12 |
$1K |
| 99443 |
|
117 |
64 |
$583.53 |
| T2022 |
Case management, per month |
130 |
129 |
$132.00 |