| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9485 |
Crisis intervention mental health services, per diem |
71,886 |
37,238 |
$38.46M |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
478,587 |
18,075 |
$24.86M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
50,263 |
26,066 |
$11.26M |
| H0040 |
Assertive community treatment program, per diem |
239,823 |
8,209 |
$11.16M |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
56,703 |
2,436 |
$10.07M |
| H2011 |
Crisis intervention service, per 15 minutes |
53,607 |
16,189 |
$9.90M |
| 90834 |
Psychotherapy, 45 minutes with patient |
116,603 |
64,934 |
$7.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,167 |
49,037 |
$2.58M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
18,009 |
2,312 |
$2.13M |
| H2015 |
Comprehensive community support services, per 15 minutes |
29,347 |
7,467 |
$1.48M |
| 90837 |
Psychotherapy, 53 minutes with patient |
22,864 |
13,166 |
$1.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,344 |
16,814 |
$779K |
| H2016 |
Comprehensive community support services, per diem |
37,881 |
1,678 |
$750K |
| 90832 |
Psychotherapy, 30 minutes with patient |
28,591 |
20,983 |
$747K |
| 90791 |
Psychiatric diagnostic evaluation |
6,176 |
6,025 |
$609K |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
1,519 |
386 |
$601K |
| H2012 |
Behavioral health day treatment, per hour |
6,528 |
607 |
$513K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
6,492 |
1,131 |
$471K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
4,877 |
3,273 |
$398K |
| 90882 |
|
7,813 |
5,534 |
$377K |
| 90887 |
|
8,591 |
6,354 |
$294K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
924 |
169 |
$282K |
| H0046 |
Mental health services, not otherwise specified |
6,116 |
3,861 |
$214K |
| H0038 |
Self-help/peer services, per 15 minutes |
3,107 |
548 |
$209K |
| T1001 |
Nursing assessment / evaluation |
1,337 |
1,314 |
$199K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,788 |
2,854 |
$138K |
| 99215 |
Prolong outpt/office vis |
1,616 |
1,511 |
$95K |
| 99404 |
|
360 |
360 |
$64K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,072 |
1,066 |
$45K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,949 |
2,857 |
$35K |
| T1017 |
Targeted case management, each 15 minutes |
115 |
16 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
659 |
638 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,409 |
1,888 |
$21K |
| S9484 |
Crisis intervention mental health services, per hour |
129 |
127 |
$19K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
159 |
115 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
480 |
444 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
100 |
99 |
$3K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
259 |
252 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
31 |
30 |
$465.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
29 |
13 |
$220.99 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
14 |
$140.64 |
| 90785 |
|
33 |
33 |
$78.60 |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
13,252 |
10,847 |
$0.00 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
1,602 |
1,181 |
$0.00 |
| T2024 |
Service assessment/plan of care development, waiver |
2,409 |
1,951 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
1,300 |
1,273 |
$0.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
28,425 |
20,395 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
1,657 |
1,408 |
$0.00 |