| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
142,011 |
99,077 |
$29.02M |
| T1016 |
Case management, each 15 minutes |
787,847 |
291,622 |
$20.16M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
320,113 |
132,165 |
$18.42M |
| H0031 |
Mental health assessment, by non-physician |
58,102 |
53,422 |
$4.44M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
23,053 |
4,991 |
$2.71M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,298 |
51,729 |
$1.76M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
13,326 |
1,704 |
$1.30M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13,074 |
12,484 |
$916K |
| H2014 |
Skills training and development, per 15 minutes |
25,686 |
10,094 |
$479K |
| 99215 |
Prolong outpt/office vis |
11,099 |
9,051 |
$354K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
11,777 |
5,909 |
$265K |
| H2011 |
Crisis intervention service, per 15 minutes |
18,441 |
14,404 |
$256K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,852 |
14,473 |
$247K |
| H0038 |
Self-help/peer services, per 15 minutes |
10,967 |
5,488 |
$242K |
| T1002 |
Rn services, up to 15 minutes |
5,805 |
4,263 |
$237K |
| H2027 |
Psychoeducational service, per 15 minutes |
4,846 |
2,469 |
$89K |
| S0215 |
Non-emergency transportation; mileage, per mile |
6,328 |
3,125 |
$82K |
| S5110 |
Home care training, family; per 15 minutes |
2,429 |
1,762 |
$75K |
| H0034 |
Medication training and support, per 15 minutes |
8,910 |
1,854 |
$58K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,170 |
954 |
$56K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
6,432 |
3,001 |
$42K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
1,308 |
505 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
223 |
160 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
355 |
333 |
$7K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
621 |
281 |
$7K |
| 99385 |
|
440 |
406 |
$5K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
155 |
70 |
$4K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
130 |
12 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
84 |
65 |
$2K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
94 |
84 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
487 |
417 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,161 |
1,078 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
29 |
29 |
$1K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
20 |
12 |
$486.08 |
| 36415 |
Collection of venous blood by venipuncture |
286 |
268 |
$297.09 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
456 |
193 |
$231.80 |
| 0011A |
|
12 |
12 |
$107.76 |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
372 |
249 |
$28.64 |
| 81003 |
|
16 |
14 |
$16.03 |
| 99386 |
|
49 |
41 |
$0.00 |
| 1126F |
|
68 |
68 |
$0.00 |
| 3074F |
|
46 |
46 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 3079F |
|
37 |
37 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
29 |
15 |
$0.00 |
| 91301 |
|
18 |
17 |
$0.00 |
| 3078F |
|
42 |
42 |
$0.00 |
| 1159F |
|
191 |
187 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
124 |
$0.00 |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
640 |
345 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
41 |
$0.00 |
| H0046 |
Mental health services, not otherwise specified |
1,770 |
43 |
$0.00 |