| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
26,189 |
25,470 |
$8.78M |
| H0023 |
Alcohol and/or drug outreach |
21,135 |
18,266 |
$6.08M |
| H0040 |
Assert comm tx pgm per diem |
14,544 |
2,049 |
$1.85M |
| H0039 |
Asser com tx face-face/15min |
6,680 |
2,022 |
$1.55M |
| T2023 |
Targeted case mgmt per month |
5,282 |
4,986 |
$1.32M |
| T2022 |
Case management, per month |
10,738 |
9,163 |
$1.21M |
| H0035 |
Mh partial hosp tx under 24h |
13,541 |
1,118 |
$983K |
| H2017 |
Psysoc rehab svc, per 15 min |
18,147 |
1,806 |
$851K |
| 90834 |
|
12,671 |
8,171 |
$797K |
| 99213 |
|
17,383 |
13,580 |
$654K |
| 99214 |
|
10,203 |
8,206 |
$599K |
| 97150 |
|
2,532 |
538 |
$510K |
| 90837 |
|
4,827 |
3,005 |
$429K |
| 90791 |
|
4,250 |
3,576 |
$396K |
| H2011 |
Crisis interven svc, 15 min |
1,926 |
1,058 |
$389K |
| 90832 |
|
6,450 |
4,790 |
$351K |
| H0036 |
Comm psy face-face per 15min |
1,645 |
1,050 |
$195K |
| H0006 |
Alcohol and/or drug services |
1,271 |
899 |
$169K |
| 99212 |
|
6,390 |
4,669 |
$112K |
| 96372 |
|
9,651 |
6,804 |
$77K |
| T1023 |
Program intake assessment |
130 |
121 |
$21K |
| H0032 |
Mh svc plan dev by non-md |
374 |
244 |
$20K |
| 90847 |
|
256 |
192 |
$16K |
| H0046 |
Mental health service, nos |
83 |
24 |
$8K |
| 90853 |
|
301 |
102 |
$4K |
| 99211 |
|
374 |
277 |
$4K |
| G9012 |
Other specified case mgmt |
13 |
13 |
$3K |
| 99443 |
|
56 |
49 |
$2K |
| 90792 |
|
12 |
12 |
$1K |
| 98966 |
|
39 |
25 |
$102.59 |
| INFHL |
|
24 |
24 |
$0.00 |