| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
294,228 |
109,814 |
$10.65M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
104,083 |
46,377 |
$8.25M |
| H0031 |
Mental health assessment, by non-physician |
21,877 |
18,918 |
$3.29M |
| S5110 |
Home care training, family; per 15 minutes |
23,378 |
14,388 |
$651K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,615 |
8,023 |
$651K |
| S0215 |
Non-emergency transportation; mileage, per mile |
14,613 |
6,108 |
$411K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
14,570 |
6,066 |
$167K |
| 99215 |
Prolong outpt/office vis |
1,314 |
1,152 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,102 |
1,961 |
$96K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
333 |
324 |
$59K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,170 |
560 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
587 |
566 |
$18K |
| H2027 |
Psychoeducational service, per 15 minutes |
438 |
211 |
$18K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
102 |
12 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$3K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
76 |
24 |
$2K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
133 |
105 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
18 |
12 |
$1K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
30 |
12 |
$728.58 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
29 |
28 |
$480.96 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
168 |
105 |
$47.73 |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
71 |
63 |
$0.00 |