| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
148,293 |
88,375 |
$42.72M |
| T1016 |
Case management, each 15 minutes |
49,091 |
31,447 |
$16.14M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
193,268 |
71,696 |
$14.66M |
| H2015 |
Comprehensive community support services, per 15 minutes |
93,734 |
10,377 |
$8.86M |
| H2023 |
Supported employment, per 15 minutes |
11,005 |
3,717 |
$8.71M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
17,534 |
15,155 |
$6.98M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,387 |
23,872 |
$6.86M |
| 90837 |
Psychotherapy, 53 minutes with patient |
17,992 |
11,081 |
$6.82M |
| H0031 |
Mental health assessment, by non-physician |
15,546 |
14,405 |
$6.80M |
| H2011 |
Crisis intervention service, per 15 minutes |
14,199 |
9,331 |
$6.60M |
| 90834 |
Psychotherapy, 45 minutes with patient |
18,347 |
12,107 |
$4.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,751 |
16,332 |
$4.64M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
5,974 |
2,500 |
$4.06M |
| 90791 |
Psychiatric diagnostic evaluation |
10,396 |
7,834 |
$3.48M |
| H0032 |
Mental health service plan development by non-physician |
9,914 |
6,955 |
$2.54M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
15,739 |
1,316 |
$2.30M |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,941 |
7,034 |
$2.20M |
| H0038 |
Self-help/peer services, per 15 minutes |
9,357 |
4,173 |
$2.18M |
| S9482 |
Family stabilization services, per 15 minutes |
4,966 |
2,372 |
$1.74M |
| H2030 |
Mental health clubhouse services, per 15 minutes |
18,902 |
943 |
$1.71M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
7,504 |
6,946 |
$1.69M |
| T1002 |
Rn services, up to 15 minutes |
9,783 |
7,568 |
$1.35M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18,398 |
13,316 |
$1.28M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,327 |
1,205 |
$1.19M |
| S5111 |
Home care training, family; per session |
3,519 |
1,621 |
$1.15M |
| H2022 |
Community-based wrap-around services, per diem |
1,441 |
481 |
$1.14M |
| T1005 |
Respite care services, up to 15 minutes |
9,154 |
1,937 |
$949K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,450 |
1,714 |
$852K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,381 |
1,495 |
$848K |
| T1001 |
Nursing assessment / evaluation |
2,347 |
2,188 |
$825K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,099 |
2,923 |
$791K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,742 |
1,689 |
$785K |
| S9470 |
Nutritional counseling, dietitian visit |
2,724 |
2,422 |
$692K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
1,628 |
342 |
$571K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,945 |
499 |
$498K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
1,481 |
1,051 |
$444K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
4,225 |
2,861 |
$352K |
| 97803 |
|
1,358 |
1,216 |
$313K |
| H2014 |
Skills training and development, per 15 minutes |
1,243 |
218 |
$265K |
| 97533 |
|
1,024 |
417 |
$215K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
3,600 |
431 |
$208K |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
509 |
438 |
$193K |
| H0045 |
Respite care services, not in the home, per diem |
462 |
341 |
$159K |
| 99215 |
Prolong outpt/office vis |
382 |
350 |
$136K |
| 96127 |
|
237 |
228 |
$98K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
203 |
50 |
$74K |
| 96113 |
|
285 |
120 |
$70K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
238 |
237 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
150 |
$65K |
| 97802 |
|
126 |
126 |
$58K |
| 96112 |
|
109 |
109 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
159 |
$34K |
| 96130 |
|
109 |
109 |
$23K |
| 96131 |
|
105 |
95 |
$22K |
| H2000 |
Comprehensive multidisciplinary evaluation |
36 |
29 |
$12K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
34 |
19 |
$11K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
151 |
46 |
$8K |
| H0034 |
Medication training and support, per 15 minutes |
43 |
42 |
$6K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
149 |
78 |
$6K |
| 97535 |
Self-care/home management training, each 15 minutes |
21 |
13 |
$3K |
| 97166 |
|
12 |
12 |
$3K |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
194 |
149 |
$2K |
| 96136 |
|
13 |
13 |
$1K |