| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
2,599 |
1,088 |
$31K |
| 99205 |
Prolong outpt/office vis |
364 |
311 |
$30K |
| 99214 |
|
754 |
457 |
$26K |
| 90833 |
|
614 |
394 |
$22K |
| H0001 |
Alcohol and/or drug assess |
1,209 |
807 |
$19K |
| H0031 |
Mh health assess by non-md |
147 |
120 |
$13K |
| H0004 |
Alcohol and/or drug services |
929 |
611 |
$11K |
| H0002 |
Alcohol and/or drug screenin |
1,157 |
748 |
$11K |
| 99204 |
|
195 |
156 |
$10K |
| 90876 |
|
79 |
46 |
$7K |
| 90832 |
|
357 |
132 |
$5K |
| 99213 |
|
186 |
111 |
$5K |
| H2011 |
Crisis interven svc, 15 min |
43 |
16 |
$4K |
| H0034 |
Med trng & support per 15min |
952 |
562 |
$4K |
| H0025 |
Alcohol and/or drug preventi |
876 |
481 |
$3K |
| 90836 |
|
68 |
43 |
$3K |
| 90792 |
|
32 |
31 |
$2K |
| 80305 |
|
123 |
118 |
$1K |
| H2020 |
Ther behav svc, per diem |
12 |
12 |
$1K |
| 90838 |
|
15 |
15 |
$1K |
| 99212 |
|
42 |
18 |
$542.88 |
| 80306 |
|
79 |
54 |
$537.24 |
| 81025 |
|
42 |
41 |
$235.29 |
| 96372 |
|
13 |
12 |
$136.84 |
| 80307 |
|
13 |
12 |
$85.72 |
| 96127 |
|
155 |
150 |
$0.00 |
| T1019 |
Personal care ser per 15 min |
38 |
36 |
$0.00 |
| 90885 |
|
22 |
22 |
$0.00 |
| T1003 |
Lpn/lvn services up to 15min |
68 |
60 |
$0.00 |
| 90863 |
|
67 |
65 |
$0.00 |