| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
107,048 |
40,654 |
$4.12M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
26,116 |
12,495 |
$1.41M |
| H0031 |
Mental health assessment, by non-physician |
6,816 |
6,042 |
$1.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,057 |
9,010 |
$774K |
| H0038 |
Self-help/peer services, per 15 minutes |
6,190 |
3,496 |
$232K |
| H2016 |
Comprehensive community support services, per diem |
589 |
340 |
$181K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,099 |
2,779 |
$149K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,101 |
702 |
$121K |
| H0043 |
Supported housing, per diem |
166 |
160 |
$109K |
| H2027 |
Psychoeducational service, per 15 minutes |
1,861 |
913 |
$79K |
| 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 |
417 |
116 |
$79K |
| H2020 |
Therapeutic behavioral services, per diem |
580 |
27 |
$75K |
| 99215 |
Prolong outpt/office vis |
486 |
432 |
$50K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,394 |
1,975 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,114 |
2,592 |
$43K |
| S5110 |
Home care training, family; per 15 minutes |
1,776 |
1,130 |
$34K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
94 |
92 |
$20K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,852 |
1,070 |
$18K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,837 |
1,058 |
$12K |
| H0001 |
Alcohol and/or drug assessment |
435 |
426 |
$10K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
209 |
179 |
$10K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
869 |
612 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
208 |
176 |
$6K |
| H2014 |
Skills training and development, per 15 minutes |
2,592 |
1,060 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
384 |
378 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
17 |
15 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
54 |
30 |
$2K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
2,731 |
1,677 |
$2K |
| 99000 |
|
141 |
129 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 80305 |
|
129 |
111 |
$1K |
| H0034 |
Medication training and support, per 15 minutes |
223 |
165 |
$993.60 |
| 90686 |
|
34 |
33 |
$676.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
17 |
$522.42 |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
160 |
98 |
$521.64 |
| 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) |
1,246 |
162 |
$470.19 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
487 |
369 |
$365.40 |
| 36415 |
Collection of venous blood by venipuncture |
107 |
101 |
$309.84 |
| 80354 |
|
87 |
72 |
$0.00 |