CMS T-MSIS data, 2018-2024
$9.8B
123.0M
8.5K
6.4K
908 critical
| Code | Description | Category | Total Paid | Claims | Providers |
|---|---|---|---|---|---|
| T1041 | Comm bh clinic svc per month | State Medicaid Agency Codes | $803.8M | 912.3K | 97 |
| H0004 | Alcohol and/or drug services | Behavioral Health | $724.3M | 11.1M | 648 |
| T1015 | Clinic service | State Medicaid Agency Codes | $657.7M | 3.0M | 241 |
| 99212 | Office o/p est sf 10 min | CPT Procedures | $624.7M | 1.4M | 674 |
| 99214 | Office o/p est mod 30 min | CPT Procedures | $537.3M | 5.7M | 2.1K |
| 99213 | Office o/p est low 20 min | CPT Procedures | $471.0M | 7.1M | 2.3K |
| G9012 | Other specified case mgmt | Temporary Procedures | $426.2M | 1.4M | 5 |
| 99284 | Emergency dept visit mod mdm | CPT Procedures | $320.3M | 2.0M | 697 |
| T1016 | Case management | State Medicaid Agency Codes | $320.1M | 5.2M | 140 |
| 99283 | Emergency dept visit low mdm | CPT Procedures | $303.0M | 2.5M | 742 |