| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
57,698 |
57,579 |
$19.76M |
| H0023 |
Alcohol and/or drug outreach |
46,285 |
44,849 |
$14.91M |
| H2022 |
Com wrap-around sv, per diem |
1,446 |
1,437 |
$11.29M |
| 97150 |
|
32,566 |
4,231 |
$5.59M |
| T2023 |
Targeted case mgmt per month |
9,009 |
8,995 |
$2.74M |
| H0039 |
Asser com tx face-face/15min |
3,133 |
3,035 |
$2.56M |
| H2017 |
Psysoc rehab svc, per 15 min |
14,752 |
3,109 |
$2.34M |
| H0040 |
Assert comm tx pgm per diem |
9,904 |
1,676 |
$1.80M |
| 90837 |
|
11,136 |
6,876 |
$957K |
| 99213 |
|
19,422 |
16,840 |
$684K |
| 90791 |
|
5,991 |
5,775 |
$559K |
| H0046 |
Mental health service, nos |
2,895 |
936 |
$343K |
| 99490 |
Ccm add 20min |
2,948 |
2,941 |
$166K |
| H0036 |
Comm psy face-face per 15min |
1,507 |
1,235 |
$163K |
| 99214 |
|
2,915 |
2,498 |
$160K |
| H2011 |
Crisis interven svc, 15 min |
507 |
449 |
$126K |
| T2021 |
Day habil waiver per 15 min |
1,097 |
1,039 |
$112K |
| G9012 |
Other specified case mgmt |
575 |
559 |
$97K |
| 96372 |
|
11,284 |
8,510 |
$71K |
| H0032 |
Mh svc plan dev by non-md |
618 |
447 |
$64K |
| T2022 |
Case management, per month |
405 |
405 |
$58K |
| 90847 |
|
828 |
588 |
$50K |
| H0004 |
Alcohol and/or drug services |
506 |
323 |
$36K |
| 90832 |
|
410 |
278 |
$17K |
| 90853 |
|
823 |
371 |
$15K |
| H0050 |
Alcohol/drug service 15 min |
947 |
945 |
$14K |
| 90792 |
|
111 |
108 |
$14K |
| H0005 |
Alcohol and/or drug services |
414 |
199 |
$10K |
| 90834 |
|
121 |
91 |
$7K |
| 99204 |
|
48 |
48 |
$5K |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$2K |
| H0006 |
Alcohol and/or drug services |
12 |
12 |
$1K |
| 99212 |
|
52 |
52 |
$738.68 |
| 36415 |
|
115 |
109 |
$137.84 |