| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assertive community treatment program, per diem |
187,510 |
6,770 |
$16.10M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
13,602 |
2,284 |
$4.79M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
45,516 |
21,863 |
$4.75M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
22,482 |
1,296 |
$4.44M |
| H0031 |
Mental health assessment, by non-physician |
8,813 |
7,701 |
$1.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,839 |
5,920 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,920 |
4,645 |
$341K |
| Q3014 |
Telehealth originating site facility fee |
6,588 |
3,790 |
$168K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,435 |
1,025 |
$121K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
958 |
910 |
$106K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
8,815 |
3,018 |
$85K |
| 90791 |
Psychiatric diagnostic evaluation |
393 |
353 |
$35K |
| 90834 |
Psychotherapy, 45 minutes with patient |
477 |
347 |
$30K |
| T1017 |
Targeted case management, each 15 minutes |
600 |
394 |
$26K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
826 |
230 |
$19K |
| 99215 |
Prolong outpt/office vis |
157 |
153 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
482 |
464 |
$15K |
| 90832 |
Psychotherapy, 30 minutes with patient |
312 |
219 |
$14K |
| H0032 |
Mental health service plan development by non-physician |
169 |
89 |
$6K |
| 96101 |
|
55 |
46 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
478 |
389 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
191 |
165 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
60 |
13 |
$1K |
| 80305 |
|
23 |
12 |
$265.76 |
| G9002 |
Coordinated care fee, maintenance rate |
28 |
27 |
$0.00 |
| 96156 |
|
39 |
39 |
$0.00 |