| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assertive community treatment program, per diem |
52,135 |
1,825 |
$2.78M |
| S9485 |
Crisis intervention mental health services, per diem |
1,126 |
522 |
$862K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,739 |
1,030 |
$409K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,629 |
2,306 |
$161K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,081 |
1,287 |
$143K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,071 |
2,217 |
$100K |
| 96137 |
|
142 |
140 |
$82K |
| 96101 |
|
127 |
122 |
$67K |
| 96118 |
|
129 |
129 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,071 |
981 |
$44K |
| 96133 |
|
130 |
130 |
$41K |
| H2011 |
Crisis intervention service, per 15 minutes |
301 |
123 |
$22K |
| 90837 |
Psychotherapy, 53 minutes with patient |
442 |
277 |
$13K |
| 96132 |
|
131 |
131 |
$12K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
371 |
111 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
61 |
61 |
$7K |
| H2015 |
Comprehensive community support services, per 15 minutes |
73 |
41 |
$6K |
| 96136 |
|
128 |
128 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
47 |
$1K |