| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
20 |
12 |
$0.00 |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
3,657 |
1,102 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
434 |
161 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
94 |
40 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
29 |
29 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
831 |
363 |
$0.00 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
87 |
46 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
97 |
68 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
183 |
142 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
327 |
236 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
642 |
268 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
252 |
178 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
145 |
37 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
34 |
27 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
42 |
29 |
$0.00 |