| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
291,556 |
127,181 |
$87.51M |
| T1017 |
Targeted case management, each 15 minutes |
284,300 |
211,769 |
$38.31M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
119,584 |
15,620 |
$16.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92,676 |
82,826 |
$9.52M |
| H2030 |
Mental health clubhouse services, per 15 minutes |
65,018 |
7,221 |
$7.90M |
| H0038 |
Self-help/peer services, per 15 minutes |
55,526 |
44,470 |
$6.79M |
| 90837 |
Psychotherapy, 53 minutes with patient |
25,596 |
16,493 |
$6.38M |
| T1002 |
Rn services, up to 15 minutes |
65,778 |
56,443 |
$5.08M |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
13,275 |
10,372 |
$4.23M |
| H0031 |
Mental health assessment, by non-physician |
14,906 |
12,533 |
$3.40M |
| H0032 |
Mental health service plan development by non-physician |
20,897 |
16,061 |
$3.23M |
| 90834 |
Psychotherapy, 45 minutes with patient |
16,478 |
12,807 |
$3.21M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34,332 |
27,245 |
$2.71M |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
41,957 |
38,195 |
$2.70M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
6,148 |
1,326 |
$2.67M |
| 90832 |
Psychotherapy, 30 minutes with patient |
21,022 |
14,265 |
$2.49M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
3,995 |
1,026 |
$1.81M |
| H2023 |
Supported employment, per 15 minutes |
8,091 |
4,052 |
$1.80M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
5,309 |
1,615 |
$1.77M |
| 90791 |
Psychiatric diagnostic evaluation |
4,412 |
3,616 |
$1.56M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
6,646 |
2,620 |
$1.01M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,297 |
2,242 |
$699K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,258 |
3,844 |
$674K |
| H2011 |
Crisis intervention service, per 15 minutes |
1,232 |
935 |
$455K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,552 |
5,311 |
$423K |
| 99205 |
Prolong outpt/office vis |
1,578 |
1,541 |
$417K |
| S5111 |
Home care training, family; per session |
1,843 |
631 |
$370K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
194 |
177 |
$257K |
| T2038 |
Community transition, waiver; per service |
353 |
326 |
$202K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
843 |
701 |
$140K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
196 |
192 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
295 |
287 |
$44K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
293 |
276 |
$34K |
| 99442 |
|
1,865 |
1,804 |
$26K |
| H0001 |
Alcohol and/or drug assessment |
135 |
134 |
$25K |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
41 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
19 |
17 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
14 |
14 |
$600.04 |
| 99441 |
|
13 |
13 |
$389.88 |