| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
627,765 |
266,617 |
$9.41M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
166,504 |
93,396 |
$7.86M |
| H0031 |
Mental health assessment, by non-physician |
59,443 |
56,094 |
$5.70M |
| H2014 |
Skills training and development, per 15 minutes |
97,503 |
47,633 |
$2.76M |
| H0038 |
Self-help/peer services, per 15 minutes |
74,068 |
30,394 |
$897K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,623 |
14,266 |
$826K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,150 |
30,009 |
$797K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,920 |
3,869 |
$375K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
27,683 |
21,339 |
$239K |
| H0001 |
Alcohol and/or drug assessment |
7,101 |
6,937 |
$223K |
| S0215 |
Non-emergency transportation; mileage, per mile |
37,211 |
15,426 |
$195K |
| 99215 |
Prolong outpt/office vis |
1,289 |
1,261 |
$133K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,882 |
7,557 |
$129K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
785 |
767 |
$61K |
| H2027 |
Psychoeducational service, per 15 minutes |
5,777 |
3,118 |
$60K |
| 99205 |
Prolong outpt/office vis |
294 |
293 |
$53K |
| 99223 |
Prolong inpt eval add15 m |
284 |
280 |
$50K |
| 99233 |
Prolong inpt eval add15 m |
406 |
163 |
$45K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
11,630 |
5,716 |
$35K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,557 |
622 |
$22K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
4,686 |
2,726 |
$14K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
494 |
226 |
$11K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,094 |
1,008 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,307 |
1,257 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
176 |
172 |
$5K |
| A0100 |
Non-emergency transportation; taxi |
25,677 |
10,998 |
$5K |
| T1002 |
Rn services, up to 15 minutes |
5,531 |
3,633 |
$5K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
518 |
410 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
50 |
$3K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
416 |
134 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
96 |
93 |
$2K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
7,508 |
3,104 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
64 |
61 |
$664.06 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
64 |
$648.03 |
| 99201 |
|
13 |
12 |
$175.20 |
| 99354 |
|
26 |
25 |
$0.00 |
| H0043 |
Supported housing, per diem |
913 |
37 |
$0.00 |
| 84439 |
|
107 |
106 |
$0.00 |
| 80061 |
Lipid panel |
199 |
199 |
$0.00 |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
33 |
23 |
$0.00 |
| 99221 |
|
49 |
14 |
$0.00 |
| H0034 |
Medication training and support, per 15 minutes |
20 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
205 |
205 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
155 |
155 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
221 |
214 |
$0.00 |
| S5110 |
Home care training, family; per 15 minutes |
24 |
12 |
$0.00 |