| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
30,700 |
29,844 |
$51.88M |
| 99215 |
Prolong outpt/office vis |
10,928 |
9,513 |
$2.30M |
| G9149 |
Medical home level ii |
9,594 |
9,555 |
$2.06M |
| H2014 |
Skills train and dev, 15 min |
6,103 |
2,598 |
$1.65M |
| H0004 |
Alcohol and/or drug services |
39,627 |
15,004 |
$1.06M |
| H0038 |
Self-help/peer svc per 15min |
71,983 |
26,828 |
$676K |
| 99214 |
|
4,628 |
4,228 |
$386K |
| H2015 |
Comp comm supp svc, 15 min |
25,397 |
6,442 |
$102K |
| 90887 |
|
511 |
373 |
$91K |
| G9150 |
Medical home level iii |
1,033 |
1,022 |
$87K |
| 90847 |
|
6,948 |
3,156 |
$77K |
| 90792 |
|
484 |
475 |
$75K |
| 99213 |
|
843 |
782 |
$69K |
| H0031 |
Mh health assess by non-md |
1,331 |
1,277 |
$48K |
| G2212 |
Prolong outpt/office vis |
2,673 |
2,336 |
$39K |
| 90846 |
|
3,528 |
1,755 |
$26K |
| T1016 |
Case management |
202 |
81 |
$24K |
| H0032 |
Mh svc plan dev by non-md |
17,562 |
12,469 |
$23K |
| H2011 |
Crisis interven svc, 15 min |
19,223 |
5,719 |
$20K |
| G9148 |
Medical home level 1 |
62 |
61 |
$16K |
| 99212 |
|
293 |
258 |
$15K |
| 90899 |
|
101 |
56 |
$12K |
| 99205 |
Prolong outpt/office vis |
33 |
33 |
$9K |
| H2021 |
Com wrap-around sv, 15 min |
8,296 |
2,760 |
$3K |
| H0046 |
Mental health service, nos |
3,380 |
2,883 |
$2K |
| S9484 |
Crisis intervention per hour |
42 |
24 |
$30.50 |
| H0030 |
Alcohol and/or drug hotline |
6,547 |
1,956 |
$9.90 |
| H2019 |
Ther behav svc, per 15 min |
550 |
134 |
$0.00 |
| H0023 |
Alcohol and/or drug outreach |
403 |
235 |
$0.00 |
| H0034 |
Med trng & support per 15min |
102 |
91 |
$0.00 |