| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assert comm tx pgm per diem |
57,676 |
46,919 |
$16.04M |
| H2019 |
Ther behav svc, per 15 min |
165,838 |
79,482 |
$10.98M |
| H2020 |
Ther behav svc, per diem |
20,101 |
6,611 |
$3.32M |
| H0036 |
Comm psy face-face per 15min |
74,040 |
35,241 |
$2.47M |
| H2017 |
Psysoc rehab svc, per 15 min |
38,068 |
28,421 |
$1.35M |
| 99214 |
|
14,080 |
12,353 |
$1.07M |
| H2012 |
Behav hlth day treat, per hr |
8,849 |
4,089 |
$448K |
| 90791 |
|
4,224 |
4,007 |
$432K |
| 99213 |
|
7,883 |
7,078 |
$411K |
| 90837 |
|
1,095 |
631 |
$98K |
| 90853 |
|
1,107 |
309 |
$23K |
| H0038 |
Self-help/peer svc per 15min |
284 |
149 |
$19K |
| 99215 |
Prolong outpt/office vis |
172 |
154 |
$18K |
| 96372 |
|
1,107 |
943 |
$13K |
| 90834 |
|
200 |
144 |
$13K |
| 99310 |
Prolong nursin fac eval 15m |
675 |
517 |
$5K |
| 99309 |
|
869 |
642 |
$5K |
| 90785 |
|
348 |
292 |
$3K |
| 99231 |
|
2,016 |
502 |
$2K |
| 99212 |
|
43 |
38 |
$2K |
| 90792 |
|
14 |
14 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
205 |
175 |
$1K |
| 99238 |
|
222 |
191 |
$460.78 |
| 90832 |
|
15 |
12 |
$439.85 |
| 99232 |
|
121 |
39 |
$191.20 |
| 99308 |
|
37 |
15 |
$140.00 |
| 99222 |
|
34 |
27 |
$54.96 |
| J2426 |
Inj, invega sustenna, 1 mg |
809 |
718 |
$1.80 |
| J1631 |
Haloperidol decanoate inj |
35 |
31 |
$0.07 |