| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
119,604 |
59,043 |
$28.02M |
| 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 |
81,546 |
3,510 |
$15.11M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
58,376 |
8,135 |
$8.85M |
| 90834 |
Psychotherapy, 45 minutes with patient |
141,921 |
82,743 |
$7.93M |
| 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) |
61,031 |
22,625 |
$7.67M |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
127,365 |
5,172 |
$6.99M |
| H2014 |
Skills training and development, per 15 minutes |
38,475 |
4,129 |
$5.91M |
| S9485 |
Crisis intervention mental health services, per diem |
8,086 |
4,091 |
$5.49M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
383,719 |
22,080 |
$4.94M |
| T1027 |
Family training and counseling for child development, per 15 minutes |
38,061 |
8,258 |
$4.22M |
| H2011 |
Crisis intervention service, per 15 minutes |
17,268 |
4,508 |
$2.50M |
| 90837 |
Psychotherapy, 53 minutes with patient |
40,051 |
25,228 |
$2.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,346 |
29,644 |
$1.94M |
| 90832 |
Psychotherapy, 30 minutes with patient |
48,604 |
38,288 |
$1.37M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
1,359 |
86 |
$1.25M |
| H2016 |
Comprehensive community support services, per diem |
37,524 |
2,040 |
$755K |
| 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 |
25,236 |
12,563 |
$523K |
| 90791 |
Psychiatric diagnostic evaluation |
7,379 |
6,920 |
$455K |
| H0038 |
Self-help/peer services, per 15 minutes |
4,989 |
1,135 |
$454K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,498 |
5,263 |
$317K |
| 90887 |
|
8,451 |
6,276 |
$302K |
| 90882 |
|
10,004 |
6,833 |
$229K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
9,139 |
2,566 |
$176K |
| 99215 |
Prolong outpt/office vis |
1,931 |
1,871 |
$160K |
| 99404 |
|
1,394 |
1,393 |
$146K |
| H0046 |
Mental health services, not otherwise specified |
2,648 |
1,773 |
$121K |
| G2076 |
Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
633 |
626 |
$70K |
| H2015 |
Comprehensive community support services, per 15 minutes |
650 |
303 |
$65K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,349 |
1,286 |
$54K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
552 |
551 |
$36K |
| T1017 |
Targeted case management, each 15 minutes |
199 |
35 |
$24K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
475 |
311 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,144 |
1,069 |
$10K |
| 90836 |
|
78 |
72 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
107 |
$4K |
| H0040 |
Assertive community treatment program, per diem |
38 |
12 |
$3K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
101 |
79 |
$878.78 |