| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
751,676 |
338,577 |
$35.38M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
282,916 |
120,125 |
$32.13M |
| H0031 |
Mental health assessment, by non-physician |
44,823 |
41,707 |
$7.95M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
19,953 |
1,403 |
$6.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,075 |
52,417 |
$5.00M |
| H0038 |
Self-help/peer services, per 15 minutes |
39,092 |
18,705 |
$2.01M |
| 90837 |
Psychotherapy, 53 minutes with patient |
11,746 |
6,136 |
$1.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,947 |
22,841 |
$1.49M |
| S5110 |
Home care training, family; per 15 minutes |
21,736 |
11,880 |
$1.30M |
| H2010 |
Comprehensive medication services, per 15 minutes |
79,313 |
5,358 |
$842K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,066 |
3,907 |
$817K |
| 99215 |
Prolong outpt/office vis |
5,974 |
5,319 |
$732K |
| H2014 |
Skills training and development, per 15 minutes |
9,762 |
4,706 |
$395K |
| S0215 |
Non-emergency transportation; mileage, per mile |
15,598 |
6,033 |
$373K |
| H2011 |
Crisis intervention service, per 15 minutes |
1,800 |
769 |
$333K |
| H0034 |
Medication training and support, per 15 minutes |
11,483 |
7,410 |
$259K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,996 |
1,542 |
$221K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
15,654 |
6,050 |
$217K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
15,029 |
10,802 |
$204K |
| H2027 |
Psychoeducational service, per 15 minutes |
5,235 |
2,513 |
$199K |
| T1002 |
Rn services, up to 15 minutes |
5,555 |
4,332 |
$172K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,034 |
1,957 |
$155K |
| H0046 |
Mental health services, not otherwise specified |
7,467 |
565 |
$149K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
20,298 |
5,183 |
$114K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
2,684 |
1,606 |
$102K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,006 |
3,590 |
$68K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
2,374 |
2,234 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
457 |
438 |
$62K |
| 80305 |
|
5,451 |
3,843 |
$49K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,652 |
1,237 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,236 |
1,168 |
$42K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
542 |
465 |
$33K |
| 99358 |
Prolong nursin fac eval 15m |
324 |
309 |
$24K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
549 |
155 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
124 |
$10K |
| 99349 |
|
70 |
62 |
$8K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
316 |
176 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
353 |
312 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,287 |
2,029 |
$6K |
| 99205 |
Prolong outpt/office vis |
39 |
39 |
$6K |
| 99000 |
|
683 |
323 |
$6K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
85 |
65 |
$6K |
| 90674 |
|
155 |
130 |
$2K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
67 |
55 |
$1K |
| 99385 |
|
16 |
14 |
$1K |
| H2016 |
Comprehensive community support services, per diem |
94 |
78 |
$1K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
608 |
575 |
$1K |
| 81025 |
|
85 |
64 |
$804.46 |
| 90653 |
|
19 |
14 |
$785.15 |
| 99354 |
|
25 |
24 |
$498.59 |
| 90656 |
|
46 |
36 |
$338.24 |
| 90715 |
|
14 |
13 |
$209.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
29 |
$93.01 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
68 |
65 |
$0.01 |
| G9920 |
Screening performed and negative |
72 |
72 |
$0.00 |
| 93000 |
|
200 |
112 |
$0.00 |