| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
61,091 |
29,144 |
$14.54M |
| 90834 |
Psychotherapy, 45 minutes with patient |
182,169 |
90,586 |
$12.40M |
| S9485 |
Crisis intervention mental health services, per diem |
19,036 |
11,896 |
$10.05M |
| H2015 |
Comprehensive community support services, per 15 minutes |
208,667 |
24,863 |
$7.82M |
| H0040 |
Assertive community treatment program, per diem |
140,581 |
5,252 |
$6.36M |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
107,502 |
4,299 |
$5.55M |
| H2011 |
Crisis intervention service, per 15 minutes |
47,946 |
9,343 |
$4.15M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
37,753 |
2,995 |
$3.98M |
| H2016 |
Comprehensive community support services, per diem |
54,480 |
6,584 |
$2.94M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,032 |
33,592 |
$1.98M |
| 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 |
373 |
244 |
$1.63M |
| T1027 |
Family training and counseling for child development, per 15 minutes |
17,637 |
2,753 |
$1.25M |
| 90791 |
Psychiatric diagnostic evaluation |
8,556 |
8,459 |
$1.14M |
| 90832 |
Psychotherapy, 30 minutes with patient |
28,066 |
21,158 |
$985K |
| 90887 |
|
16,230 |
11,526 |
$657K |
| 90882 |
|
13,553 |
7,860 |
$576K |
| T1017 |
Targeted case management, each 15 minutes |
5,072 |
660 |
$527K |
| H2012 |
Behavioral health day treatment, per hour |
6,333 |
653 |
$415K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
4,402 |
3,167 |
$365K |
| H0038 |
Self-help/peer services, per 15 minutes |
4,491 |
907 |
$272K |
| H0046 |
Mental health services, not otherwise specified |
7,313 |
4,893 |
$248K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,063 |
839 |
$56K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
322 |
319 |
$34K |
| 99404 |
|
153 |
153 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
262 |
239 |
$10K |
| 99443 |
|
2,290 |
2,153 |
$4K |
| H0031 |
Mental health assessment, by non-physician |
117 |
106 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
344 |
276 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
69 |
65 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 4040F |
|
14 |
14 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
82 |
75 |
$0.00 |