| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
87,900 |
35,986 |
$26.45M |
| T1017 |
Targeted case management, each 15 minutes |
49,873 |
25,497 |
$12.26M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
27,116 |
8,996 |
$8.49M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
18,339 |
1,812 |
$6.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,811 |
14,885 |
$5.79M |
| 90837 |
Psychotherapy, 53 minutes with patient |
23,455 |
15,222 |
$4.12M |
| H0038 |
Self-help/peer services, per 15 minutes |
15,516 |
4,726 |
$3.31M |
| T1016 |
Case management, each 15 minutes |
16,774 |
9,533 |
$3.15M |
| 90791 |
Psychiatric diagnostic evaluation |
4,639 |
4,505 |
$2.93M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
6,132 |
6,080 |
$2.20M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
2,677 |
2,369 |
$1.97M |
| 90834 |
Psychotherapy, 45 minutes with patient |
13,098 |
9,600 |
$1.94M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
8,158 |
1,718 |
$1.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,158 |
6,289 |
$1.79M |
| H0032 |
Mental health service plan development by non-physician |
8,469 |
7,697 |
$1.59M |
| 0365T |
|
2,691 |
283 |
$1.20M |
| H0031 |
Mental health assessment, by non-physician |
4,410 |
4,092 |
$1.04M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,050 |
1,040 |
$932K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,111 |
4,865 |
$781K |
| S5111 |
Home care training, family; per session |
3,372 |
2,183 |
$678K |
| T1001 |
Nursing assessment / evaluation |
2,442 |
2,400 |
$620K |
| T1002 |
Rn services, up to 15 minutes |
3,613 |
3,355 |
$595K |
| 99215 |
Prolong outpt/office vis |
1,174 |
1,099 |
$556K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,891 |
1,210 |
$481K |
| H2023 |
Supported employment, per 15 minutes |
1,726 |
920 |
$447K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
734 |
272 |
$389K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,630 |
1,990 |
$385K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,581 |
3,726 |
$381K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,955 |
2,488 |
$264K |
| 0364T |
|
2,536 |
283 |
$237K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
1,703 |
572 |
$165K |
| 0369T |
|
1,031 |
277 |
$157K |
| 0368T |
|
1,332 |
281 |
$128K |
| 97156 |
|
1,005 |
662 |
$91K |
| H0001 |
Alcohol and/or drug assessment |
250 |
250 |
$82K |
| 97533 |
|
276 |
168 |
$66K |
| H2000 |
Comprehensive multidisciplinary evaluation |
257 |
255 |
$35K |
| H2015 |
Comprehensive community support services, per 15 minutes |
516 |
96 |
$32K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
185 |
148 |
$21K |
| T1005 |
Respite care services, up to 15 minutes |
231 |
42 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
62 |
$18K |
| 0370T |
|
182 |
135 |
$18K |
| T2025 |
Waiver services; not otherwise specified (nos) |
105 |
104 |
$11K |
| H2011 |
Crisis intervention service, per 15 minutes |
43 |
32 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
47 |
$7K |