| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
852,510 |
155,143 |
$90.51M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
16,483 |
7,832 |
$28.58M |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
103,337 |
33,391 |
$20.25M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
200,716 |
24,665 |
$4.60M |
| 90832 |
Psychotherapy, 30 minutes with patient |
47,189 |
25,967 |
$4.21M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
5,525 |
5,505 |
$3.08M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
36,750 |
9,525 |
$1.91M |
| 90834 |
Psychotherapy, 45 minutes with patient |
16,189 |
9,521 |
$1.79M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,359 |
8,412 |
$1.18M |
| H0001 |
Alcohol and/or drug assessment |
7,363 |
4,412 |
$995K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,711 |
2,709 |
$848K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,751 |
5,402 |
$671K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,594 |
3,707 |
$666K |
| S9484 |
Crisis intervention mental health services, per hour |
1,009 |
950 |
$663K |
| S9485 |
Crisis intervention mental health services, per diem |
496 |
469 |
$653K |
| H0038 |
Self-help/peer services, per 15 minutes |
8,235 |
3,936 |
$435K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
3,459 |
782 |
$337K |
| 90791 |
Psychiatric diagnostic evaluation |
2,007 |
1,430 |
$279K |
| H2018 |
Psychosocial rehabilitation services, per diem |
323 |
323 |
$154K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
1,587 |
225 |
$149K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,596 |
2,167 |
$120K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,168 |
3,957 |
$105K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
732 |
731 |
$96K |
| 99215 |
Prolong outpt/office vis |
862 |
828 |
$91K |
| T1016 |
Case management, each 15 minutes |
900 |
414 |
$60K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
477 |
199 |
$55K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
479 |
471 |
$54K |
| H0013 |
Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) |
592 |
590 |
$54K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
374 |
372 |
$51K |
| 99341 |
|
190 |
187 |
$23K |
| 99409 |
|
640 |
520 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
241 |
234 |
$19K |
| 99342 |
|
156 |
156 |
$19K |
| 90837 |
Psychotherapy, 53 minutes with patient |
152 |
106 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
518 |
459 |
$15K |
| 99348 |
|
144 |
112 |
$15K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
305 |
250 |
$12K |
| 99385 |
|
210 |
208 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
58 |
$9K |
| 99205 |
Prolong outpt/office vis |
50 |
49 |
$6K |
| 99201 |
|
54 |
53 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$5K |
| G2078 |
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
699 |
239 |
$5K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
75 |
59 |
$5K |
| 99401 |
|
15 |
15 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
37 |
15 |
$3K |
| 99347 |
|
19 |
15 |
$2K |
| 90882 |
|
28 |
26 |
$1K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
56 |
28 |
$142.83 |