| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
13,489 |
6,233 |
$5.16M |
| H2010 |
Comprehensive med svc 15 min |
19,917 |
14,145 |
$4.89M |
| T1017 |
Targeted case management |
21,687 |
14,046 |
$4.13M |
| H2013 |
Psych hlth fac svc, per diem |
1,660 |
264 |
$3.07M |
| 90837 |
|
3,940 |
1,488 |
$1.06M |
| H0034 |
Med trng & support per 15min |
5,490 |
4,428 |
$715K |
| H0032 |
Mh svc plan dev by non-md |
2,062 |
1,980 |
$533K |
| 99214 |
|
1,884 |
1,245 |
$463K |
| H2017 |
Psysoc rehab svc, per 15 min |
2,187 |
733 |
$411K |
| 99443 |
|
1,560 |
1,263 |
$361K |
| 90834 |
|
2,002 |
881 |
$357K |
| G2212 |
Prolong outpt/office vis |
753 |
524 |
$290K |
| 99205 |
Prolong outpt/office vis |
300 |
280 |
$253K |
| 90832 |
|
670 |
379 |
$95K |
| 99442 |
|
437 |
347 |
$77K |
| H2011 |
Crisis interven svc, 15 min |
142 |
119 |
$71K |
| T2024 |
Serv asmnt/care plan waiver |
91 |
91 |
$61K |
| 99213 |
|
235 |
203 |
$38K |
| 90791 |
|
366 |
352 |
$28K |
| T2021 |
Day habil waiver per 15 min |
124 |
68 |
$28K |
| H0033 |
Oral med adm direct observe |
125 |
113 |
$26K |
| 99212 |
|
84 |
63 |
$14K |
| 90847 |
|
47 |
27 |
$10K |
| 99215 |
Prolong outpt/office vis |
16 |
14 |
$6K |
| 99441 |
|
31 |
24 |
$3K |
| 90792 |
|
13 |
12 |
$2K |
| 99211 |
|
399 |
397 |
$2K |
| H0004 |
Alcohol and/or drug services |
27 |
18 |
$0.00 |
| H0005 |
Alcohol and/or drug services |
213 |
87 |
$0.00 |