| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2426 |
Inj, invega sustenna, 1 mg |
3,314 |
2,761 |
$6.96M |
| 90837 |
|
93,037 |
52,617 |
$5.85M |
| 90834 |
|
82,918 |
50,159 |
$4.27M |
| 99214 |
|
40,065 |
33,575 |
$2.23M |
| H0010 |
Alcohol and/or drug services |
11,458 |
3,196 |
$1.75M |
| T1017 |
Targeted case management |
70,277 |
39,394 |
$1.65M |
| H0004 |
Alcohol and/or drug services |
21,712 |
13,482 |
$1.46M |
| 90832 |
|
31,931 |
19,341 |
$1.28M |
| J0401 |
Inj, abilify maintena, 1 mg |
665 |
558 |
$1.16M |
| 90791 |
|
10,916 |
9,228 |
$1.06M |
| 99213 |
|
29,402 |
24,648 |
$988K |
| H0038 |
Self-help/peer svc per 15min |
31,184 |
13,172 |
$974K |
| H0025 |
Alcohol and/or drug preventi |
64,869 |
24,058 |
$926K |
| H2036 |
A/d tx program, per diem |
9,092 |
599 |
$858K |
| 90847 |
|
13,058 |
7,160 |
$649K |
| H0002 |
Alcohol and/or drug screenin |
28,726 |
21,385 |
$573K |
| T1007 |
Treatment plan development |
10,958 |
2,237 |
$544K |
| 97537 |
|
11,011 |
4,991 |
$350K |
| H2014 |
Skills train and dev, 15 min |
9,630 |
5,738 |
$343K |
| 99215 |
Prolong outpt/office vis |
2,328 |
1,859 |
$279K |
| T1019 |
Personal care ser per 15 min |
5,629 |
1,395 |
$252K |
| 90846 |
|
3,746 |
1,923 |
$221K |
| H0031 |
Mh health assess by non-md |
3,672 |
3,097 |
$216K |
| 96372 |
|
13,317 |
8,831 |
$164K |
| H0015 |
Alcohol and/or drug services |
4,448 |
1,033 |
$162K |
| 90792 |
|
1,401 |
1,056 |
$149K |
| T1023 |
Program intake assessment |
2,741 |
1,737 |
$103K |
| 90853 |
|
5,598 |
2,572 |
$88K |
| H0001 |
Alcohol and/or drug assess |
630 |
507 |
$84K |
| S3005 |
Eval self-assess depression |
4,820 |
1,543 |
$77K |
| H2011 |
Crisis interven svc, 15 min |
2,028 |
1,185 |
$75K |
| H0034 |
Med trng & support per 15min |
1,112 |
629 |
$75K |
| H0023 |
Alcohol and/or drug outreach |
3,798 |
3,004 |
$60K |
| 99212 |
|
2,717 |
2,383 |
$51K |
| 90839 |
|
734 |
567 |
$46K |
| J2315 |
Naltrexone, depot form |
42 |
38 |
$41K |
| H0006 |
Alcohol and/or drug services |
683 |
434 |
$34K |
| H0005 |
Alcohol and/or drug services |
1,398 |
656 |
$23K |
| H2023 |
Supported employ, per 15 min |
3,186 |
1,266 |
$23K |
| H0019 |
Alcohol and/or drug services |
1,245 |
120 |
$19K |
| 99204 |
|
41 |
32 |
$10K |
| 90882 |
|
155 |
99 |
$4K |
| H2017 |
Psysoc rehab svc, per 15 min |
117 |
76 |
$4K |
| 97535 |
|
170 |
88 |
$2K |
| H2025 |
Supp maint employ, 15 min |
177 |
126 |
$2K |
| S9454 |
Stress mgmt class |
796 |
300 |
$874.92 |
| H0014 |
Alcohol and/or drug services |
201 |
97 |
$0.00 |