| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
199,366 |
195,959 |
$67.66M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
102,348 |
3,447 |
$30.46M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
9,066 |
8,748 |
$14.18M |
| H2022 |
Community-based wrap-around services, per diem |
44,934 |
1,493 |
$13.39M |
| H0040 |
Assertive community treatment program, per diem |
62,998 |
6,270 |
$12.60M |
| T1017 |
Targeted case management, each 15 minutes |
29,420 |
29,334 |
$10.15M |
| 90837 |
Psychotherapy, 53 minutes with patient |
47,640 |
29,805 |
$5.45M |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
47,448 |
4,172 |
$4.50M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
100,438 |
8,110 |
$4.44M |
| H2011 |
Crisis intervention service, per 15 minutes |
6,340 |
3,636 |
$3.82M |
| H0046 |
Mental health services, not otherwise specified |
27,430 |
4,592 |
$2.82M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
6,335 |
380 |
$2.28M |
| H2016 |
Comprehensive community support services, per diem |
20,112 |
1,879 |
$2.27M |
| H2012 |
Behavioral health day treatment, per hour |
10,258 |
3,001 |
$1.92M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,979 |
21,874 |
$1.74M |
| H2018 |
Psychosocial rehabilitation services, per diem |
2,273 |
403 |
$1.72M |
| T2022 |
Case management, per month |
12,578 |
12,134 |
$1.70M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
7,275 |
2,933 |
$1.37M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
4,690 |
889 |
$1.36M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
18,417 |
1,628 |
$1.35M |
| T2023 |
Targeted case management; per month |
3,745 |
3,673 |
$1.12M |
| H0006 |
Alcohol and/or drug services; case management |
4,679 |
4,450 |
$1.09M |
| 90791 |
Psychiatric diagnostic evaluation |
6,575 |
6,385 |
$857K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,400 |
16,754 |
$807K |
| T2003 |
Non-emergency transportation; encounter/trip |
35,979 |
2,325 |
$578K |
| S9485 |
Crisis intervention mental health services, per diem |
580 |
540 |
$554K |
| H0032 |
Mental health service plan development by non-physician |
5,572 |
4,638 |
$400K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,300 |
3,335 |
$367K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,267 |
2,175 |
$335K |
| S0215 |
Non-emergency transportation; mileage, per mile |
11,279 |
1,454 |
$325K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
2,932 |
1,645 |
$320K |
| S9482 |
Family stabilization services, per 15 minutes |
1,437 |
398 |
$273K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
11,469 |
4,664 |
$262K |
| G9012 |
Other specified case management service not elsewhere classified |
901 |
874 |
$219K |
| T2034 |
Crisis intervention, waiver; per diem |
1,801 |
655 |
$207K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,004 |
2,462 |
$190K |
| 80305 |
|
11,168 |
8,065 |
$126K |
| Q3014 |
Telehealth originating site facility fee |
4,678 |
4,326 |
$85K |
| S9484 |
Crisis intervention mental health services, per hour |
649 |
106 |
$75K |
| 99215 |
Prolong outpt/office vis |
686 |
647 |
$69K |
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
89 |
12 |
$44K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
6,850 |
948 |
$44K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
553 |
484 |
$41K |
| 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 |
147 |
26 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,181 |
1,134 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,911 |
2,452 |
$33K |
| H0031 |
Mental health assessment, by non-physician |
547 |
506 |
$31K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
1,058 |
476 |
$24K |
| 99509 |
Home visit for assistance with activities of daily living and personal care |
346 |
314 |
$17K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
126 |
86 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
855 |
806 |
$12K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
109 |
89 |
$8K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
436 |
247 |
$6K |
| A0130 |
Non-emergency transportation: wheelchair van |
92 |
15 |
$4K |
| 90889 |
|
13 |
13 |
$3K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
14 |
13 |
$2K |
| 99417 |
Prolong home eval add 15m |
13 |
12 |
$224.78 |