| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mh partial hosp tx under 24h |
38,139 |
3,667 |
$5.92M |
| H0015 |
Alcohol and/or drug services |
50,938 |
7,453 |
$4.72M |
| H0011 |
Alcohol and/or drug services |
18,587 |
1,698 |
$3.71M |
| 99213 |
|
15,846 |
10,018 |
$646K |
| T2023 |
Targeted case mgmt per month |
1,156 |
894 |
$240K |
| 90853 |
|
18,483 |
9,921 |
$228K |
| 90791 |
|
2,010 |
1,814 |
$152K |
| T1007 |
Treatment plan development |
2,395 |
2,132 |
$132K |
| 90837 |
|
1,716 |
1,174 |
$98K |
| 90832 |
|
2,197 |
1,864 |
$78K |
| 99214 |
|
1,236 |
934 |
$66K |
| 99212 |
|
2,586 |
1,819 |
$48K |
| 90792 |
|
532 |
396 |
$35K |
| 80305 |
|
1,389 |
1,010 |
$10K |
| 90834 |
|
166 |
155 |
$8K |
| 99204 |
|
118 |
102 |
$7K |
| 99203 |
|
158 |
145 |
$5K |
| 96372 |
|
498 |
394 |
$5K |
| H2019 |
Ther behav svc, per 15 min |
31 |
24 |
$2K |
| 99442 |
|
16 |
16 |
$1K |
| 90833 |
|
15 |
15 |
$637.08 |
| 90838 |
|
45 |
38 |
$408.13 |
| H0038 |
Self-help/peer svc per 15min |
13 |
12 |
$28.48 |
| H0048 |
Spec coll non-blood:a/d test |
2,261 |
1,656 |
$10.00 |
| H0018 |
Alcohol and/or drug services |
342 |
53 |
$0.00 |
| T1023 |
Program intake assessment |
20 |
19 |
$0.00 |
| H0005 |
Alcohol and/or drug services |
80 |
53 |
$0.00 |
| 98966 |
|
27 |
20 |
$0.00 |
| S0201 |
Partial hospitalization serv |
1,322 |
156 |
$0.00 |