| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assertive community treatment program, per diem |
116,468 |
4,088 |
$9.86M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
53,427 |
25,784 |
$4.93M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
7,472 |
1,428 |
$2.95M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
11,745 |
897 |
$2.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,693 |
39,993 |
$2.30M |
| H0031 |
Mental health assessment, by non-physician |
11,316 |
10,379 |
$1.77M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,902 |
4,774 |
$593K |
| Q3014 |
Telehealth originating site facility fee |
16,523 |
14,378 |
$413K |
| H2015 |
Comprehensive community support services, per 15 minutes |
5,883 |
598 |
$322K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,020 |
765 |
$296K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
4,492 |
4,426 |
$226K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,967 |
2,363 |
$225K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
15,404 |
3,186 |
$155K |
| T1016 |
Case management, each 15 minutes |
3,134 |
581 |
$147K |
| H0038 |
Self-help/peer services, per 15 minutes |
3,080 |
955 |
$102K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,918 |
3,284 |
$36K |
| 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 |
280 |
24 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
876 |
733 |
$31K |
| T1017 |
Targeted case management, each 15 minutes |
494 |
457 |
$22K |
| 80305 |
|
1,426 |
1,019 |
$13K |
| H0032 |
Mental health service plan development by non-physician |
485 |
342 |
$12K |