| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Comm bh clinic svc per diem |
214,727 |
70,946 |
$42.47M |
| 90834 |
|
16,135 |
11,123 |
$98K |
| 99214 |
|
8,592 |
7,704 |
$65K |
| 99213 |
|
7,721 |
6,881 |
$24K |
| 90832 |
|
4,045 |
3,131 |
$15K |
| 99215 |
Prolong outpt/office vis |
171 |
153 |
$6K |
| 90837 |
|
188 |
117 |
$5K |
| 99204 |
|
575 |
530 |
$5K |
| 99205 |
Prolong outpt/office vis |
174 |
156 |
$494.55 |
| H2017 |
Psysoc rehab svc, per 15 min |
22,184 |
3,022 |
$0.00 |
| H2015 |
Comp comm supp svc, 15 min |
1,918 |
788 |
$0.00 |
| H2010 |
Comprehensive med svc 15 min |
28,149 |
23,173 |
$0.00 |
| H0036 |
Comm psy face-face per 15min |
172,068 |
66,849 |
$0.00 |
| 99203 |
|
26 |
26 |
$0.00 |
| 90791 |
|
53 |
50 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
76 |
75 |
$0.00 |
| H0005 |
Alcohol and/or drug services |
54 |
25 |
$0.00 |
| 99212 |
|
12 |
12 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
9,803 |
8,592 |
$0.00 |
| H0025 |
Alcohol and/or drug preventi |
5,821 |
2,087 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
5,449 |
3,435 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
4,993 |
2,170 |
$0.00 |
| T1023 |
Program intake assessment |
15 |
14 |
$0.00 |