| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
231,281 |
55,979 |
$41.63M |
| H2013 |
Psych hlth fac svc, per diem |
29,416 |
2,666 |
$41.49M |
| H0020 |
Alcohol and/or drug services |
2,680,126 |
102,073 |
$39.00M |
| H0004 |
Alcohol and/or drug services |
291,533 |
98,455 |
$26.85M |
| H0018 |
Alcohol and/or drug services |
51,919 |
3,739 |
$19.60M |
| T1017 |
Targeted case management |
135,028 |
37,777 |
$12.05M |
| H0019 |
Alcohol and/or drug services |
39,624 |
1,831 |
$9.62M |
| H2010 |
Comprehensive med svc 15 min |
18,619 |
10,438 |
$5.13M |
| H2019 |
Ther behav svc, per 15 min |
17,271 |
3,310 |
$4.68M |
| H2017 |
Psysoc rehab svc, per 15 min |
32,621 |
10,541 |
$4.00M |
| 90837 |
|
10,104 |
5,588 |
$1.40M |
| S5000 |
Prescription drug, generic |
41,113 |
1,714 |
$1.24M |
| 99215 |
Prolong outpt/office vis |
4,207 |
3,937 |
$927K |
| G2212 |
Prolong outpt/office vis |
5,594 |
3,748 |
$780K |
| H0032 |
Mh svc plan dev by non-md |
6,470 |
4,534 |
$655K |
| 99214 |
|
4,514 |
3,977 |
$565K |
| 90834 |
|
2,914 |
2,131 |
$432K |
| H0034 |
Med trng & support per 15min |
5,416 |
3,411 |
$336K |
| H2011 |
Crisis interven svc, 15 min |
4,726 |
2,394 |
$312K |
| 99213 |
|
1,619 |
1,446 |
$121K |
| H0031 |
Mh health assess by non-md |
1,714 |
1,140 |
$88K |
| H0005 |
Alcohol and/or drug services |
3,086 |
612 |
$85K |
| T1001 |
Nursing assessment/evaluatn |
1,779 |
1,496 |
$74K |
| T2021 |
Day habil waiver per 15 min |
126 |
63 |
$59K |
| H0033 |
Oral med adm direct observe |
3,094 |
2,071 |
$55K |
| 90832 |
|
869 |
699 |
$49K |
| 99205 |
Prolong outpt/office vis |
304 |
274 |
$45K |
| 90791 |
|
2,987 |
2,388 |
$45K |
| H0038 |
Self-help/peer svc per 15min |
1,533 |
667 |
$40K |
| H2021 |
Com wrap-around sv, 15 min |
572 |
392 |
$37K |
| T2024 |
Serv asmnt/care plan waiver |
33 |
30 |
$36K |
| 99212 |
|
314 |
275 |
$22K |
| 90792 |
|
369 |
330 |
$16K |
| H2000 |
Comp multidisipln evaluation |
169 |
104 |
$15K |
| G0397 |
Alcohol/subs interv >30 min |
83 |
83 |
$4K |
| 96127 |
|
84 |
79 |
$1K |
| H0049 |
Alcohol/drug screening |
15 |
15 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
24 |
13 |
$0.00 |
| 99202 |
|
17 |
17 |
$0.00 |
| 90847 |
|
78 |
50 |
$0.00 |
| 99484 |
|
17 |
14 |
$0.00 |
| 99451 |
|
34 |
33 |
$0.00 |
| T1007 |
Treatment plan development |
22 |
22 |
$0.00 |
| 99204 |
|
111 |
92 |
$0.00 |
| 90853 |
|
441 |
138 |
$0.00 |
| 99203 |
|
79 |
69 |
$0.00 |
| S9484 |
Crisis intervention per hour |
354 |
85 |
$0.00 |