| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
88,591 |
42,296 |
$4.13M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
15,349 |
9,088 |
$1.03M |
| H0031 |
Mental health assessment, by non-physician |
6,129 |
5,499 |
$861K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,655 |
6,156 |
$511K |
| H0038 |
Self-help/peer services, per 15 minutes |
7,510 |
3,813 |
$199K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
3,943 |
3,361 |
$80K |
| 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 |
395 |
112 |
$75K |
| H2027 |
Psychoeducational service, per 15 minutes |
1,258 |
674 |
$64K |
| H0043 |
Supported housing, per diem |
126 |
124 |
$63K |
| H2016 |
Comprehensive community support services, per diem |
129 |
92 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
817 |
744 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,709 |
1,477 |
$24K |
| 99215 |
Prolong outpt/office vis |
110 |
106 |
$14K |
| S5110 |
Home care training, family; per 15 minutes |
615 |
410 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
84 |
77 |
$11K |
| H0001 |
Alcohol and/or drug assessment |
390 |
386 |
$8K |
| H2014 |
Skills training and development, per 15 minutes |
2,099 |
829 |
$7K |
| H2020 |
Therapeutic behavioral services, per diem |
50 |
41 |
$7K |
| 99000 |
|
505 |
486 |
$6K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
207 |
174 |
$6K |
| 80305 |
|
406 |
331 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
17 |
12 |
$2K |
| S0215 |
Non-emergency transportation; mileage, per mile |
367 |
217 |
$2K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
365 |
319 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
413 |
402 |
$2K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
1,610 |
1,040 |
$2K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
12 |
12 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
154 |
149 |
$1K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
34 |
29 |
$644.28 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
329 |
187 |
$624.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
18 |
$583.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$310.41 |
| H0034 |
Medication training and support, per 15 minutes |
76 |
69 |
$296.12 |
| 81002 |
|
54 |
45 |
$184.60 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
144 |
117 |
$123.12 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,429 |
743 |
$10.00 |
| 94760 |
|
16 |
15 |
$0.00 |