| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
53,796 |
2,984 |
$10.30M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
83,537 |
44,497 |
$9.17M |
| H0040 |
Assertive community treatment program, per diem |
87,960 |
3,233 |
$7.69M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
7,554 |
1,580 |
$3.68M |
| H0031 |
Mental health assessment, by non-physician |
11,004 |
10,267 |
$1.82M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,040 |
16,120 |
$1.42M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,880 |
24,073 |
$1.35M |
| H2015 |
Comprehensive community support services, per 15 minutes |
23,064 |
2,250 |
$1.20M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
3,775 |
2,564 |
$992K |
| H0032 |
Mental health service plan development by non-physician |
8,823 |
4,722 |
$693K |
| H0038 |
Self-help/peer services, per 15 minutes |
7,832 |
2,401 |
$667K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
1,113 |
248 |
$608K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,195 |
4,028 |
$494K |
| Q3014 |
Telehealth originating site facility fee |
18,530 |
15,483 |
$466K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,997 |
6,705 |
$350K |
| T1017 |
Targeted case management, each 15 minutes |
13,444 |
7,661 |
$329K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
1,601 |
135 |
$235K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
17,827 |
2,440 |
$188K |
| 80305 |
|
16,954 |
11,010 |
$185K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
3,678 |
3,658 |
$179K |
| 99215 |
Prolong outpt/office vis |
1,813 |
1,537 |
$177K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,275 |
4,425 |
$168K |
| 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 |
584 |
105 |
$73K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,484 |
3,589 |
$35K |
| 81025 |
|
3,707 |
2,807 |
$28K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,450 |
1,236 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
536 |
499 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
375 |
365 |
$24K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
386 |
68 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
487 |
394 |
$9K |
| H2011 |
Crisis intervention service, per 15 minutes |
25 |
23 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
118 |
67 |
$387.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$150.32 |