| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2013 |
Psychiatric health facility service, per diem |
19,643 |
2,725 |
$17.55M |
| S9485 |
Crisis intervention mental health services, per diem |
13,360 |
3,577 |
$5.72M |
| T2025 |
Waiver services; not otherwise specified (nos) |
30,000 |
9,946 |
$4.47M |
| H2012 |
Behavioral health day treatment, per hour |
22,521 |
7,873 |
$2.93M |
| G9149 |
National committee for quality assurance - level 2 medical home |
4,274 |
4,189 |
$1.07M |
| 90837 |
Psychotherapy, 53 minutes with patient |
191,750 |
109,317 |
$385K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
21,550 |
3,771 |
$332K |
| H2011 |
Crisis intervention service, per 15 minutes |
144,448 |
79,895 |
$245K |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
355 |
333 |
$216K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
68,457 |
35,365 |
$210K |
| H2023 |
Supported employment, per 15 minutes |
1,432 |
547 |
$124K |
| H0046 |
Mental health services, not otherwise specified |
73,160 |
43,822 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,487 |
72,512 |
$121K |
| T2023 |
Targeted case management; per month |
82 |
80 |
$103K |
| H2031 |
Mental health clubhouse services, per diem |
8,481 |
1,252 |
$97K |
| 90834 |
Psychotherapy, 45 minutes with patient |
57,147 |
42,520 |
$90K |
| 90791 |
Psychiatric diagnostic evaluation |
30,511 |
29,898 |
$88K |
| H2015 |
Comprehensive community support services, per 15 minutes |
105,012 |
60,103 |
$58K |
| 90832 |
Psychotherapy, 30 minutes with patient |
58,743 |
40,100 |
$57K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
22,149 |
5,307 |
$44K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
11,428 |
10,790 |
$37K |
| H0043 |
Supported housing, per diem |
367 |
124 |
$34K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
6,497 |
4,320 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,200 |
9,286 |
$18K |
| H2027 |
Psychoeducational service, per 15 minutes |
23,616 |
12,558 |
$15K |
| H0030 |
Behavioral health hotline service |
132,836 |
96,065 |
$13K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
26,589 |
11,898 |
$12K |
| H0038 |
Self-help/peer services, per 15 minutes |
23,251 |
10,796 |
$10K |
| 99304 |
|
2,496 |
2,154 |
$9K |
| 99307 |
|
2,995 |
1,085 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
36 |
36 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,340 |
4,914 |
$3K |
| T1001 |
Nursing assessment / evaluation |
6,736 |
4,608 |
$2K |
| H2014 |
Skills training and development, per 15 minutes |
492 |
387 |
$2K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
712 |
549 |
$2K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
1,350 |
508 |
$1K |
| 99215 |
Prolong outpt/office vis |
147 |
132 |
$575.95 |
| 99334 |
|
1,365 |
1,160 |
$181.40 |
| H0034 |
Medication training and support, per 15 minutes |
327 |
163 |
$169.05 |
| 99347 |
|
466 |
424 |
$88.76 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
34 |
14 |
$61.55 |
| 99348 |
|
77 |
50 |
$49.30 |
| H2021 |
Community-based wrap-around services, per 15 minutes |
2,099 |
831 |
$0.00 |
| 99075 |
|
300 |
264 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
2,590 |
1,574 |
$0.00 |
| 96102 |
|
521 |
420 |
$0.00 |
| 96101 |
|
391 |
200 |
$0.00 |
| 90785 |
|
299 |
215 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
178 |
160 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
34 |
31 |
$0.00 |
| 99354 |
|
68 |
55 |
$0.00 |
| 96137 |
|
14 |
14 |
$0.00 |
| S9981 |
Medical records copying fee, administrative |
757 |
691 |
$0.00 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,212 |
443 |
$0.00 |
| S9982 |
Medical records copying fee, per page |
753 |
673 |
$0.00 |
| 96131 |
|
18 |
14 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
157 |
114 |
$0.00 |
| 99315 |
|
26 |
24 |
$0.00 |