| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9485 |
Crisis intervention mental health services, per diem |
6,191 |
3,073 |
$3.00M |
| H0040 |
Assertive community treatment program, per diem |
8,241 |
1,041 |
$981K |
| T1001 |
Nursing assessment / evaluation |
2,410 |
2,125 |
$435K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,869 |
2,600 |
$182K |
| S5102 |
Day care services, adult; per diem |
300 |
228 |
$170K |
| T2003 |
Non-emergency transportation; encounter/trip |
262 |
216 |
$81K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
5,528 |
965 |
$79K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
339 |
204 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,425 |
1,226 |
$57K |
| H2012 |
Behavioral health day treatment, per hour |
695 |
68 |
$45K |
| H2011 |
Crisis intervention service, per 15 minutes |
36 |
15 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
33 |
13 |
$582.80 |
| 90837 |
Psychotherapy, 53 minutes with patient |
55 |
26 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
38 |
38 |
$0.00 |