| Code | Description | Claims | Beneficiaries | Total Paid |
| 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 |
17,768 |
592 |
$435K |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
78 |
78 |
$269K |
| 90837 |
Psychotherapy, 53 minutes with patient |
23,554 |
15,376 |
$262K |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,887 |
7,579 |
$109K |
| H0046 |
Mental health services, not otherwise specified |
22,283 |
17,177 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,213 |
7,878 |
$77K |
| H0038 |
Self-help/peer services, per 15 minutes |
12,368 |
4,087 |
$57K |
| H0031 |
Mental health assessment, by non-physician |
3,415 |
3,404 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,486 |
10,207 |
$37K |
| H2015 |
Comprehensive community support services, per 15 minutes |
10,620 |
6,664 |
$36K |
| S9485 |
Crisis intervention mental health services, per diem |
414 |
80 |
$23K |
| G9149 |
National committee for quality assurance - level 2 medical home |
139 |
139 |
$22K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,907 |
1,535 |
$22K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
11,599 |
5,748 |
$18K |
| H2023 |
Supported employment, per 15 minutes |
277 |
68 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,696 |
2,183 |
$9K |
| H2011 |
Crisis intervention service, per 15 minutes |
7,804 |
4,722 |
$8K |
| T1017 |
Targeted case management, each 15 minutes |
282 |
149 |
$8K |
| H2012 |
Behavioral health day treatment, per hour |
3,820 |
1,392 |
$5K |
| 96165 |
|
138 |
63 |
$4K |
| 99215 |
Prolong outpt/office vis |
322 |
267 |
$4K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
704 |
307 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
154 |
113 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
171 |
170 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,004 |
1,855 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
502 |
207 |
$1K |
| 96164 |
|
131 |
63 |
$1K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
3,477 |
1,345 |
$592.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
14 |
$152.24 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
16 |
$138.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
112 |
$79.14 |
| T1001 |
Nursing assessment / evaluation |
276 |
251 |
$0.00 |
| H2021 |
Community-based wrap-around services, per 15 minutes |
1,066 |
353 |
$0.00 |
| 90785 |
|
237 |
161 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
783 |
330 |
$0.00 |
| S9981 |
Medical records copying fee, administrative |
26 |
25 |
$0.00 |