| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
44,525 |
2,578 |
$8.61M |
| H0040 |
Assertive community treatment program, per diem |
71,351 |
2,512 |
$5.68M |
| H2015 |
Comprehensive community support services, per 15 minutes |
122,883 |
7,382 |
$5.43M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
70,647 |
28,088 |
$5.37M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
9,705 |
1,814 |
$4.17M |
| H0031 |
Mental health assessment, by non-physician |
18,322 |
16,548 |
$2.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,937 |
34,305 |
$2.66M |
| T1017 |
Targeted case management, each 15 minutes |
64,460 |
14,437 |
$2.64M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,282 |
29,977 |
$2.57M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
6,274 |
3,517 |
$1.49M |
| Q3014 |
Telehealth originating site facility fee |
31,117 |
26,291 |
$767K |
| H0038 |
Self-help/peer services, per 15 minutes |
14,911 |
4,739 |
$723K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,609 |
4,351 |
$557K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
6,713 |
6,367 |
$240K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
310 |
81 |
$163K |
| H0032 |
Mental health service plan development by non-physician |
9,993 |
6,360 |
$138K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,498 |
2,733 |
$105K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
805 |
723 |
$8K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
828 |
520 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
64 |
$5K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$1K |