| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9485 |
Crisis intervention mental h |
77,175 |
37,223 |
$5.57M |
| 90792 |
|
43,216 |
39,960 |
$2.87M |
| H0031 |
Mh health assess by non-md |
54,440 |
48,891 |
$2.46M |
| 99214 |
|
20,931 |
15,619 |
$569K |
| T1016 |
Case management |
53,198 |
36,820 |
$441K |
| 99232 |
|
24,767 |
9,783 |
$387K |
| S9484 |
Crisis intervention per hour |
10,334 |
8,979 |
$383K |
| H0038 |
Self-help/peer svc per 15min |
31,645 |
20,078 |
$217K |
| 99213 |
|
10,916 |
8,695 |
$195K |
| 99233 |
Prolong inpt eval add15 m |
2,306 |
674 |
$172K |
| 80305 |
|
48,461 |
39,833 |
$167K |
| T1002 |
Rn services up to 15 minutes |
27,603 |
14,798 |
$160K |
| 90791 |
|
19,362 |
18,185 |
$145K |
| 99215 |
Prolong outpt/office vis |
6,429 |
4,802 |
$109K |
| 82075 |
|
26,644 |
22,688 |
$107K |
| 99238 |
|
4,329 |
4,184 |
$104K |
| 99231 |
|
3,637 |
1,804 |
$64K |
| H0004 |
Alcohol and/or drug services |
1,870 |
1,240 |
$58K |
| 99223 |
Prolong inpt eval add15 m |
296 |
283 |
$49K |
| A0110 |
Nonemergency transport bus |
3,562 |
3,244 |
$45K |
| 81025 |
|
13,139 |
11,079 |
$40K |
| H0002 |
Alcohol and/or drug screenin |
2,296 |
2,144 |
$34K |
| S0215 |
Nonemerg transp mileage |
777 |
654 |
$17K |
| U0002 |
Covid-19 lab test non-cdc |
848 |
791 |
$11K |
| T1003 |
Lpn/lvn services up to 15min |
1,720 |
1,453 |
$6K |
| A0120 |
Noner transport mini-bus |
711 |
601 |
$6K |
| 99222 |
|
45 |
45 |
$5K |
| 99239 |
|
123 |
110 |
$2K |
| 99212 |
|
316 |
257 |
$2K |
| H0034 |
Med trng & support per 15min |
673 |
504 |
$921.10 |
| H2014 |
Skills train and dev, 15 min |
29 |
26 |
$476.18 |
| H2027 |
Psychoed svc, per 15 min |
13 |
12 |
$448.43 |
| A0160 |
Noner transport case worker |
33 |
30 |
$374.26 |
| Q0177 |
Hydroxyzine pamoate 25mg |
104 |
57 |
$57.46 |
| Q0163 |
Diphenhydramine hcl 50mg |
133 |
94 |
$2.44 |
| H0033 |
Oral med adm direct observe |
82 |
43 |
$0.00 |
| 36416 |
|
241 |
122 |
$0.00 |