| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Alcohol and/or drug services |
62,256 |
18,838 |
$54.80M |
| H2013 |
Psych hlth fac svc, per diem |
7,902 |
986 |
$9.08M |
| H2036 |
A/d tx program, per diem |
9,663 |
1,972 |
$7.26M |
| 90853 |
|
64,091 |
20,526 |
$5.33M |
| H0040 |
Assert comm tx pgm per diem |
2,779 |
2,262 |
$3.18M |
| 90837 |
|
8,992 |
4,422 |
$1.16M |
| H2016 |
Comp comm supp svc, per diem |
10,088 |
373 |
$882K |
| H2019 |
Ther behav svc, per 15 min |
10,062 |
4,379 |
$620K |
| H2017 |
Psysoc rehab svc, per 15 min |
8,119 |
1,835 |
$495K |
| 99214 |
|
3,430 |
2,791 |
$488K |
| 99213 |
|
1,759 |
1,476 |
$395K |
| 90834 |
|
2,555 |
1,695 |
$289K |
| 99215 |
Prolong outpt/office vis |
490 |
413 |
$124K |
| 90832 |
|
1,328 |
989 |
$82K |
| 90791 |
|
427 |
414 |
$63K |
| 99205 |
Prolong outpt/office vis |
133 |
131 |
$35K |
| 90849 |
|
1,073 |
292 |
$32K |
| 90847 |
|
264 |
169 |
$31K |
| 99203 |
|
67 |
63 |
$26K |
| H0038 |
Self-help/peer svc per 15min |
677 |
261 |
$24K |
| 99204 |
|
85 |
82 |
$23K |
| 99211 |
|
348 |
263 |
$11K |
| 96372 |
|
1,008 |
909 |
$10K |
| J2315 |
Naltrexone, depot form |
849 |
762 |
$10K |
| H0031 |
Mh health assess by non-md |
39 |
39 |
$7K |
| H2014 |
Skills train and dev, 15 min |
126 |
60 |
$5K |
| 80305 |
|
3,109 |
2,705 |
$5K |
| G2023 |
Specimen collect covid-19 |
510 |
383 |
$3K |
| 87426 |
|
288 |
252 |
$3K |
| 86328 |
|
133 |
104 |
$2K |
| 90471 |
|
69 |
53 |
$493.70 |
| 81025 |
|
72 |
67 |
$361.62 |
| 90686 |
|
69 |
53 |
$298.86 |
| T2024 |
Serv asmnt/care plan waiver |
13 |
13 |
$293.92 |
| 86580 |
|
16 |
12 |
$68.70 |
| 99408 |
|
40 |
39 |
$53.90 |
| 36415 |
|
260 |
246 |
$0.00 |
| 99406 |
|
68 |
62 |
$0.00 |
| 86769 |
|
41 |
28 |
$0.00 |