| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
26 |
26 |
$81K |
| H0004 |
Alcohol and/or drug services |
5,583 |
3,096 |
$79K |
| 90837 |
|
9,877 |
5,893 |
$73K |
| 90834 |
|
5,763 |
4,179 |
$26K |
| 90832 |
|
3,911 |
2,728 |
$21K |
| 96165 |
|
2,319 |
668 |
$13K |
| H2011 |
Crisis interven svc, 15 min |
6,561 |
2,291 |
$12K |
| 96164 |
|
3,276 |
883 |
$6K |
| 90791 |
|
671 |
653 |
$5K |
| 96153 |
|
3,317 |
874 |
$3K |
| 99215 |
Prolong outpt/office vis |
67 |
62 |
$2K |
| H0023 |
Alcohol and/or drug outreach |
2,506 |
1,669 |
$2K |
| H2012 |
Behav hlth day treat, per hr |
696 |
82 |
$1K |
| 80305 |
|
940 |
436 |
$1K |
| H0046 |
Mental health service, nos |
2,434 |
2,023 |
$1K |
| H0001 |
Alcohol and/or drug assess |
185 |
181 |
$732.45 |
| 99214 |
|
136 |
127 |
$440.28 |
| H2015 |
Comp comm supp svc, 15 min |
3,877 |
1,981 |
$416.28 |
| H0038 |
Self-help/peer svc per 15min |
651 |
221 |
$233.70 |
| 90792 |
|
40 |
33 |
$214.00 |
| 90846 |
|
39 |
38 |
$177.32 |
| 90853 |
|
2,421 |
689 |
$101.53 |
| 90847 |
|
180 |
149 |
$100.00 |
| H0048 |
Spec coll non-blood:a/d test |
706 |
181 |
$28.00 |
| H0032 |
Mh svc plan dev by non-md |
308 |
149 |
$0.32 |
| T1001 |
Nursing assessment/evaluatn |
345 |
318 |
$0.10 |
| T1016 |
Case management |
59 |
25 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
42 |
27 |
$0.00 |
| H2021 |
Com wrap-around sv, 15 min |
201 |
65 |
$0.00 |
| H0003 |
Alcohol and/or drug screenin |
18 |
12 |
$0.00 |