| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2020 |
Ther behav svc, per diem |
171,046 |
43,624 |
$25.48M |
| 90837 |
|
124,459 |
61,183 |
$11.67M |
| H2019 |
Ther behav svc, per 15 min |
101,548 |
46,556 |
$6.66M |
| H0036 |
Comm psy face-face per 15min |
76,106 |
33,715 |
$3.47M |
| T2022 |
Case management, per month |
7,234 |
6,983 |
$3.33M |
| 99214 |
|
28,709 |
26,245 |
$3.13M |
| T2023 |
Targeted case mgmt per month |
2,956 |
2,840 |
$2.52M |
| 90832 |
|
45,392 |
26,430 |
$2.35M |
| 90834 |
|
33,577 |
20,510 |
$2.17M |
| 99213 |
|
4,597 |
4,363 |
$343K |
| H2012 |
Behav hlth day treat, per hr |
12,512 |
6,176 |
$331K |
| 99215 |
Prolong outpt/office vis |
1,479 |
1,366 |
$242K |
| 90791 |
|
1,046 |
988 |
$101K |
| 99203 |
|
626 |
579 |
$67K |
| 90853 |
|
2,956 |
1,220 |
$60K |
| 99204 |
|
272 |
262 |
$47K |
| 96130 |
|
797 |
673 |
$46K |
| 90785 |
|
3,955 |
2,243 |
$41K |
| 99205 |
Prolong outpt/office vis |
160 |
155 |
$35K |
| 96131 |
|
471 |
400 |
$30K |
| 90847 |
|
286 |
221 |
$22K |
| 96137 |
|
326 |
292 |
$16K |
| 96136 |
|
335 |
314 |
$10K |
| H2000 |
Comp multidisipln evaluation |
59 |
56 |
$10K |
| H2015 |
Comp comm supp svc, 15 min |
53 |
12 |
$9K |
| 99211 |
|
577 |
386 |
$9K |
| 96101 |
|
79 |
71 |
$7K |
| 99212 |
|
98 |
94 |
$5K |
| 96116 |
|
66 |
66 |
$4K |
| H2017 |
Psysoc rehab svc, per 15 min |
30 |
13 |
$2K |
| 90658 |
|
28 |
27 |
$20.78 |
| G9006 |
Mccd, home monitoring |
13,826 |
4,256 |
$0.00 |
| G9007 |
Mccd, sch team conf |
108 |
90 |
$0.00 |
| G9005 |
Mccd, risk adj, maintenance |
30 |
30 |
$0.00 |
| G9009 |
Mccd, risk adj, level 3 |
13 |
12 |
$0.00 |
| G9002 |
Mccd,maintenance rate |
19,125 |
8,526 |
$0.00 |