| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Ther behav svc, per 15 min |
1,131,437 |
426,065 |
$103.57M |
| 90837 |
|
403,081 |
175,523 |
$37.49M |
| H0040 |
Assert comm tx pgm per diem |
39,834 |
28,788 |
$10.58M |
| 99214 |
|
87,932 |
76,834 |
$9.30M |
| 90832 |
|
124,795 |
64,381 |
$6.26M |
| H2020 |
Ther behav svc, per diem |
41,419 |
9,154 |
$6.18M |
| 90834 |
|
77,005 |
44,717 |
$4.94M |
| H0036 |
Comm psy face-face per 15min |
75,602 |
43,001 |
$3.17M |
| 99354 |
|
28,078 |
13,507 |
$1.89M |
| T2022 |
Case management, per month |
9,044 |
3,861 |
$1.84M |
| 90791 |
|
16,361 |
15,339 |
$1.67M |
| H2017 |
Psysoc rehab svc, per 15 min |
41,080 |
30,900 |
$1.55M |
| 90833 |
|
21,670 |
20,090 |
$1.22M |
| 99213 |
|
14,964 |
13,224 |
$1.02M |
| T2023 |
Targeted case mgmt per month |
1,060 |
714 |
$770K |
| 90847 |
|
8,347 |
5,001 |
$634K |
| 90785 |
|
51,155 |
26,090 |
$555K |
| 99204 |
|
3,430 |
3,216 |
$545K |
| H2036 |
A/d tx program, per diem |
4,338 |
194 |
$261K |
| H2012 |
Behav hlth day treat, per hr |
6,561 |
2,377 |
$252K |
| H2015 |
Comp comm supp svc, 15 min |
1,205 |
156 |
$215K |
| 99205 |
Prolong outpt/office vis |
954 |
868 |
$195K |
| 99215 |
Prolong outpt/office vis |
1,119 |
1,035 |
$165K |
| 90846 |
|
1,816 |
1,362 |
$144K |
| 90839 |
|
1,009 |
895 |
$127K |
| H0006 |
Alcohol and/or drug services |
3,288 |
1,184 |
$124K |
| 96101 |
|
673 |
378 |
$81K |
| 99203 |
|
554 |
539 |
$62K |
| H2000 |
Comp multidisipln evaluation |
402 |
329 |
$59K |
| 99212 |
|
1,361 |
1,250 |
$53K |
| 90853 |
|
1,790 |
443 |
$43K |
| 96118 |
|
355 |
246 |
$33K |
| 99355 |
|
204 |
153 |
$18K |
| 90836 |
|
191 |
189 |
$14K |
| H0048 |
Spec coll non-blood:a/d test |
737 |
328 |
$5K |
| 99201 |
|
75 |
72 |
$3K |
| 90840 |
|
46 |
32 |
$1K |
| 90838 |
|
12 |
12 |
$1K |
| 99202 |
|
12 |
12 |
$863.64 |
| T1003 |
Lpn/lvn services up to 15min |
115 |
97 |
$247.94 |
| G9006 |
Mccd, home monitoring |
8,027 |
3,091 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
15 |
14 |
$0.00 |
| G9007 |
Mccd, sch team conf |
151 |
130 |
$0.00 |
| G9005 |
Mccd, risk adj, maintenance |
12 |
12 |
$0.00 |
| G9002 |
Mccd,maintenance rate |
5,634 |
3,314 |
$0.00 |
| 81205 |
|
15 |
12 |
$0.00 |