| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
139,003 |
29,330 |
$11.23M |
| 90837 |
|
44,702 |
20,643 |
$5.29M |
| H0046 |
Mental health service, nos |
93,813 |
29,996 |
$2.08M |
| T2023 |
Targeted case mgmt per month |
4,687 |
4,203 |
$1.74M |
| H0032 |
Mh svc plan dev by non-md |
14,828 |
9,752 |
$1.15M |
| H0031 |
Mh health assess by non-md |
14,799 |
9,906 |
$1.12M |
| 90832 |
|
14,457 |
6,415 |
$1.07M |
| H2014 |
Skills train and dev, 15 min |
12,832 |
3,939 |
$623K |
| 90791 |
|
4,288 |
3,959 |
$526K |
| 90834 |
|
5,282 |
2,946 |
$432K |
| 99214 |
|
5,098 |
4,506 |
$367K |
| 90847 |
|
3,574 |
1,998 |
$342K |
| H0038 |
Self-help/peer svc per 15min |
1,565 |
709 |
$178K |
| 99215 |
Prolong outpt/office vis |
3,224 |
2,821 |
$177K |
| 90899 |
|
3,692 |
2,039 |
$114K |
| 90846 |
|
859 |
565 |
$98K |
| 99443 |
|
884 |
769 |
$54K |
| H2011 |
Crisis interven svc, 15 min |
365 |
157 |
$51K |
| 90785 |
|
4,500 |
2,293 |
$49K |
| 90882 |
|
512 |
333 |
$21K |
| 99417 |
Prolong home eval add 15m |
514 |
457 |
$14K |
| 90853 |
|
125 |
53 |
$12K |
| 96127 |
|
2,380 |
1,119 |
$10K |
| 99213 |
|
87 |
75 |
$9K |
| 99205 |
Prolong outpt/office vis |
16 |
15 |
$2K |
| 96101 |
|
19 |
13 |
$2K |
| G2212 |
Prolong outpt/office vis |
101 |
92 |
$369.55 |
| 96372 |
|
88 |
62 |
$205.76 |
| 98967 |
|
103 |
66 |
$0.00 |
| 99406 |
|
28 |
27 |
$0.00 |
| 90792 |
|
14 |
14 |
$0.00 |
| H0043 |
Supported housing, per diem |
1,259 |
88 |
$0.00 |