| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
44,497 |
6,827 |
$2.08M |
| H0040 |
Assert comm tx pgm per diem |
49,075 |
2,003 |
$1.03M |
| H2015 |
Comp comm supp svc, 15 min |
7,198 |
2,147 |
$259K |
| H0038 |
Self-help/peer svc per 15min |
2,229 |
778 |
$95K |
| T1015 |
Clinic service |
1,132 |
875 |
$47K |
| T1020 |
Personal care ser per diem |
3,221 |
114 |
$36K |
| T1017 |
Targeted case management |
177 |
82 |
$10K |
| H0032 |
Mh svc plan dev by non-md |
150 |
118 |
$9K |
| H2019 |
Ther behav svc, per 15 min |
65 |
40 |
$5K |
| H2000 |
Comp multidisipln evaluation |
12 |
12 |
$2K |
| 99214 |
|
21 |
17 |
$748.02 |
| 99213 |
|
26 |
26 |
$0.00 |