| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
86,320 |
2,963 |
$16.36M |
| T1017 |
Targeted case management |
41,148 |
24,132 |
$9.26M |
| H0036 |
Comm psy face-face per 15min |
23,388 |
4,754 |
$4.65M |
| T1016 |
Case management |
36,476 |
22,591 |
$4.55M |
| T1020 |
Personal care ser per diem |
86,329 |
2,963 |
$4.42M |
| 97153 |
|
6,124 |
513 |
$2.64M |
| T1023 |
Program intake assessment |
1,312 |
1,123 |
$2.27M |
| 99214 |
|
7,928 |
7,701 |
$2.20M |
| 90837 |
|
8,516 |
5,544 |
$1.99M |
| H2030 |
Mh clubhouse svc, per 15 min |
11,347 |
870 |
$1.85M |
| H2015 |
Comp comm supp svc, 15 min |
50,570 |
5,013 |
$1.79M |
| H2011 |
Crisis interven svc, 15 min |
3,044 |
2,294 |
$1.68M |
| H0039 |
Asser com tx face-face/15min |
9,277 |
1,274 |
$1.65M |
| H0032 |
Mh svc plan dev by non-md |
6,688 |
5,595 |
$1.38M |
| 90834 |
|
6,099 |
4,567 |
$1.05M |
| H0038 |
Self-help/peer svc per 15min |
9,818 |
2,976 |
$956K |
| 90792 |
|
1,035 |
1,031 |
$876K |
| 99213 |
|
4,140 |
4,062 |
$811K |
| 99215 |
Prolong outpt/office vis |
1,864 |
1,774 |
$762K |
| H2014 |
Skills train and dev, 15 min |
13,786 |
1,993 |
$754K |
| S9446 |
Pt education noc group |
1,391 |
464 |
$676K |
| T1002 |
Rn services up to 15 minutes |
3,825 |
2,094 |
$651K |
| 99212 |
|
2,429 |
2,340 |
$515K |
| 90832 |
|
4,483 |
3,352 |
$446K |
| H0002 |
Alcohol and/or drug screenin |
834 |
792 |
$378K |
| 90791 |
|
2,411 |
2,289 |
$350K |
| 97155 |
|
1,306 |
411 |
$335K |
| H0031 |
Mh health assess by non-md |
1,319 |
1,294 |
$332K |
| 96372 |
|
2,456 |
2,197 |
$294K |
| S0280 |
Medical home, initial plan |
1,550 |
913 |
$286K |
| H2000 |
Comp multidisipln evaluation |
722 |
418 |
$249K |
| H2019 |
Ther behav svc, per 15 min |
698 |
171 |
$190K |
| 0365T |
|
2,612 |
235 |
$173K |
| S5111 |
Family homecare train/sessio |
423 |
177 |
$112K |
| T1999 |
Noc retail items andsupplies |
2,811 |
2,750 |
$101K |
| 90853 |
|
330 |
165 |
$65K |
| 0364T |
|
2,662 |
236 |
$53K |
| S9482 |
Family stabilization 15 min |
268 |
137 |
$48K |
| 0369T |
|
701 |
209 |
$47K |
| Q3014 |
Telehealth facility fee |
4,801 |
4,390 |
$46K |
| 0368T |
|
778 |
212 |
$33K |
| 90847 |
|
121 |
88 |
$25K |
| T1001 |
Nursing assessment/evaluatn |
12 |
12 |
$11K |
| 97803 |
|
42 |
39 |
$4K |
| 97168 |
|
12 |
12 |
$3K |
| 97802 |
|
12 |
12 |
$2K |
| H2021 |
Com wrap-around sv, 15 min |
70 |
24 |
$1K |
| S9484 |
Crisis intervention per hour |
27 |
12 |
$1K |