| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
77,360 |
22,667 |
$18.04M |
| H2016 |
Comprehensive community support services, per diem |
924,096 |
32,234 |
$16.08M |
| S9485 |
Crisis intervention mental health services, per diem |
25,646 |
13,721 |
$13.89M |
| 90834 |
Psychotherapy, 45 minutes with patient |
176,330 |
73,612 |
$13.42M |
| H0040 |
Assertive community treatment program, per diem |
316,390 |
11,012 |
$13.08M |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
121,879 |
4,560 |
$6.53M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
44,750 |
4,896 |
$5.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,818 |
54,460 |
$4.07M |
| H2015 |
Comprehensive community support services, per 15 minutes |
28,161 |
8,027 |
$2.93M |
| H2011 |
Crisis intervention service, per 15 minutes |
10,764 |
5,441 |
$1.83M |
| T1027 |
Family training and counseling for child development, per 15 minutes |
15,052 |
3,237 |
$1.32M |
| H2012 |
Behavioral health day treatment, per hour |
22,722 |
1,967 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,837 |
18,749 |
$900K |
| 90832 |
Psychotherapy, 30 minutes with patient |
30,913 |
16,821 |
$882K |
| H0038 |
Self-help/peer services, per 15 minutes |
11,817 |
1,773 |
$851K |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
2,173 |
937 |
$719K |
| 90791 |
Psychiatric diagnostic evaluation |
6,970 |
6,250 |
$608K |
| T1017 |
Targeted case management, each 15 minutes |
7,192 |
779 |
$597K |
| 90887 |
|
9,286 |
5,853 |
$227K |
| 90882 |
|
8,389 |
5,614 |
$199K |
| 99215 |
Prolong outpt/office vis |
1,894 |
1,752 |
$175K |
| 96153 |
|
2,563 |
862 |
$161K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,293 |
778 |
$147K |
| H0046 |
Mental health services, not otherwise specified |
6,850 |
731 |
$128K |
| T1001 |
Nursing assessment / evaluation |
638 |
617 |
$88K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
15,158 |
5,186 |
$88K |
| 99205 |
Prolong outpt/office vis |
649 |
634 |
$53K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
640 |
416 |
$52K |
| S9484 |
Crisis intervention mental health services, per hour |
249 |
214 |
$48K |
| 99404 |
|
215 |
215 |
$33K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
273 |
273 |
$27K |
| 96164 |
|
573 |
199 |
$10K |
| 90839 |
|
3,704 |
1,885 |
$10K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
13,704 |
5,696 |
$8K |
| T2022 |
Case management, per month |
47 |
47 |
$8K |
| 90785 |
|
654 |
607 |
$7K |
| 96165 |
|
508 |
186 |
$5K |
| 99443 |
|
2,695 |
2,488 |
$5K |
| H0031 |
Mental health assessment, by non-physician |
297 |
217 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
85 |
$3K |
| 99442 |
|
1,573 |
1,351 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
66 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,187 |
799 |
$486.97 |
| 99417 |
Prolong home eval add 15m |
13 |
13 |
$365.45 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
16 |
15 |
$106.60 |