| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2025 |
Waiver services; not otherwise specified (nos) |
28,041 |
16,913 |
$3.90M |
| H0017 |
Behavioral health; residential (hospital residential treatment program), without room and board, per diem |
4,718 |
538 |
$3.10M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
20,758 |
6,359 |
$1.46M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
44,902 |
3,790 |
$1.16M |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
312 |
312 |
$976K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71,596 |
58,361 |
$666K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,380 |
12,348 |
$374K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,582 |
2,534 |
$278K |
| 90837 |
Psychotherapy, 53 minutes with patient |
206,840 |
116,151 |
$261K |
| H2023 |
Supported employment, per 15 minutes |
2,491 |
909 |
$199K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
25,201 |
4,287 |
$130K |
| 99215 |
Prolong outpt/office vis |
17,291 |
15,781 |
$36K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
9,410 |
6,484 |
$22K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
662 |
157 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
294 |
288 |
$17K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
59,286 |
34,660 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
434 |
390 |
$13K |
| 99304 |
|
211 |
209 |
$11K |
| H2015 |
Comprehensive community support services, per 15 minutes |
73,815 |
48,209 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
22,487 |
19,689 |
$10K |
| 96153 |
|
32,334 |
7,620 |
$6K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
101 |
38 |
$6K |
| H0046 |
Mental health services, not otherwise specified |
45,090 |
38,042 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
13,095 |
9,339 |
$5K |
| S9981 |
Medical records copying fee, administrative |
336 |
267 |
$5K |
| 99306 |
Prolong nursin fac eval 15m |
62 |
58 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
14,616 |
5,266 |
$5K |
| S9982 |
Medical records copying fee, per page |
336 |
268 |
$4K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
52,983 |
35,988 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
12,307 |
8,900 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
62 |
13 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
2,470 |
1,769 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
220 |
169 |
$2K |
| 99307 |
|
55 |
50 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,379 |
5,624 |
$965.18 |
| H0038 |
Self-help/peer services, per 15 minutes |
56,690 |
24,658 |
$492.00 |
| H2011 |
Crisis intervention service, per 15 minutes |
4,734 |
3,158 |
$105.30 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
628 |
373 |
$100.00 |
| 96164 |
|
50,295 |
14,118 |
$16.70 |
| 96165 |
|
49,985 |
14,037 |
$0.00 |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
1,583 |
735 |
$0.00 |
| H2021 |
Community-based wrap-around services, per 15 minutes |
1,781 |
672 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
842 |
521 |
$0.00 |
| 90785 |
|
1,157 |
731 |
$0.00 |
| H2022 |
Community-based wrap-around services, per diem |
4,903 |
114 |
$0.00 |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
315 |
184 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
140 |
82 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
10,275 |
6,330 |
$0.00 |
| 99000 |
|
8,248 |
3,186 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
31 |
$0.00 |