| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
72,011 |
20,294 |
$21.49M |
| T1017 |
Targeted case management, each 15 minutes |
91,536 |
64,964 |
$15.31M |
| 90837 |
Psychotherapy, 53 minutes with patient |
74,055 |
48,112 |
$9.28M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
15,666 |
4,256 |
$8.21M |
| T1016 |
Case management, each 15 minutes |
27,223 |
19,535 |
$6.35M |
| H0031 |
Mental health assessment, by non-physician |
31,279 |
26,600 |
$4.43M |
| H0032 |
Mental health service plan development by non-physician |
30,291 |
28,395 |
$3.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,126 |
35,242 |
$2.95M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
16,037 |
2,790 |
$2.71M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
14,361 |
3,310 |
$2.11M |
| H2033 |
Multisystemic therapy for juveniles, per 15 minutes |
3,742 |
889 |
$1.98M |
| 90834 |
Psychotherapy, 45 minutes with patient |
21,355 |
17,974 |
$1.90M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
7,511 |
7,498 |
$1.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,812 |
11,297 |
$1.36M |
| 90832 |
Psychotherapy, 30 minutes with patient |
24,970 |
19,896 |
$1.33M |
| H2011 |
Crisis intervention service, per 15 minutes |
11,275 |
10,364 |
$1.25M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
4,822 |
520 |
$811K |
| H2022 |
Community-based wrap-around services, per diem |
2,098 |
885 |
$753K |
| H2023 |
Supported employment, per 15 minutes |
3,822 |
1,769 |
$566K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
3,678 |
3,014 |
$454K |
| 0365T |
|
2,418 |
230 |
$332K |
| 99215 |
Prolong outpt/office vis |
2,064 |
1,942 |
$285K |
| 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 |
3,425 |
524 |
$242K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
8,525 |
3,754 |
$236K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
640 |
578 |
$222K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
967 |
690 |
$210K |
| S5111 |
Home care training, family; per session |
1,213 |
479 |
$200K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,742 |
3,633 |
$172K |
| H0038 |
Self-help/peer services, per 15 minutes |
5,367 |
2,569 |
$157K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,281 |
4,623 |
$127K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
1,235 |
402 |
$104K |
| H0001 |
Alcohol and/or drug assessment |
705 |
690 |
$71K |
| 0364T |
|
2,435 |
230 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
521 |
483 |
$61K |
| 0369T |
|
590 |
218 |
$57K |
| 90791 |
Psychiatric diagnostic evaluation |
348 |
345 |
$53K |
| 0368T |
|
651 |
223 |
$39K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
1,103 |
932 |
$34K |
| 96101 |
|
194 |
112 |
$25K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
405 |
345 |
$23K |
| 0370T |
|
116 |
79 |
$14K |
| 97156 |
|
185 |
137 |
$8K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
199,403 |
86,151 |
$6K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
89 |
89 |
$5K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
42 |
37 |
$4K |
| T1001 |
Nursing assessment / evaluation |
15 |
15 |
$2K |