| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
8,524 |
5,755 |
$1.43M |
| H2015 |
Comprehensive community support services, per 15 minutes |
6,457 |
3,803 |
$649K |
| T2025 |
Waiver services; not otherwise specified (nos) |
1,332 |
12 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
762 |
422 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,158 |
701 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
136 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
122 |
114 |
$0.00 |
| H0040 |
Assertive community treatment program, per diem |
73 |
21 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
14 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
870 |
181 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
19 |
17 |
$0.00 |
| T2016 |
Habilitation, residential, waiver; per diem |
514 |
473 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,293 |
487 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
138 |
132 |
$0.00 |
| 99214GT |
|
12 |
12 |
$0.00 |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
1,873 |
97 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
32 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,413 |
513 |
$0.00 |
| H2022 |
Community-based wrap-around services, per diem |
37 |
14 |
$0.00 |
| S9484 |
Crisis intervention mental health services, per hour |
176 |
28 |
$0.00 |
| H0020CR |
|
144 |
23 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
29 |
13 |
$0.00 |
| 90853GT |
|
20 |
12 |
$0.00 |