| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assertive community treatment program, per diem |
71,912 |
2,374 |
$5.87M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
10,418 |
1,872 |
$5.58M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
22,756 |
8,579 |
$1.77M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
4,522 |
176 |
$937K |
| H0038 |
Self-help/peer services, per 15 minutes |
4,809 |
312 |
$799K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,945 |
6,788 |
$616K |
| H0031 |
Mental health assessment, by non-physician |
2,853 |
2,535 |
$466K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,548 |
3,136 |
$227K |
| T1017 |
Targeted case management, each 15 minutes |
3,368 |
2,533 |
$201K |
| H0032 |
Mental health service plan development by non-physician |
1,684 |
1,057 |
$77K |
| Q3014 |
Telehealth originating site facility fee |
2,251 |
1,740 |
$59K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
247 |
12 |
$35K |
| 80305 |
|
2,709 |
1,585 |
$29K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
2,074 |
785 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
111 |
99 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
475 |
449 |
$5K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
128 |
72 |
$2K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
119 |
61 |
$1K |
| 99442 |
|
67 |
64 |
$996.11 |
| 99443 |
|
99 |
90 |
$842.65 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$284.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$141.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
13 |
$56.66 |