| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Ther behav svc, per 15 min |
213,951 |
112,299 |
$18.04M |
| 99214 |
|
110,315 |
96,644 |
$10.71M |
| 90837 |
|
82,620 |
48,150 |
$7.62M |
| S0281 |
Medical home, maintenance |
22,144 |
20,332 |
$7.09M |
| H0040 |
Assert comm tx pgm per diem |
19,255 |
15,702 |
$5.66M |
| H0036 |
Comm psy face-face per 15min |
115,575 |
67,088 |
$4.09M |
| H2020 |
Ther behav svc, per diem |
6,247 |
1,321 |
$964K |
| 90833 |
|
16,094 |
14,590 |
$871K |
| 99215 |
Prolong outpt/office vis |
5,883 |
5,190 |
$845K |
| H2017 |
Psysoc rehab svc, per 15 min |
16,707 |
10,726 |
$782K |
| 90785 |
|
68,281 |
40,105 |
$749K |
| 90832 |
|
13,516 |
8,024 |
$671K |
| 99213 |
|
9,790 |
8,711 |
$627K |
| 90791 |
|
6,169 |
5,694 |
$590K |
| 90834 |
|
7,698 |
5,791 |
$481K |
| 99204 |
|
1,009 |
936 |
$160K |
| H2000 |
Comp multidisipln evaluation |
940 |
882 |
$146K |
| G2067 |
Med assist tx meth wk |
3,711 |
1,056 |
$136K |
| 90839 |
|
1,152 |
964 |
$130K |
| 99205 |
Prolong outpt/office vis |
420 |
392 |
$86K |
| 90792 |
|
610 |
547 |
$65K |
| 90853 |
|
3,608 |
1,219 |
$52K |
| H2012 |
Behav hlth day treat, per hr |
1,101 |
699 |
$42K |
| 99354 |
|
591 |
440 |
$40K |
| H0011 |
Alcohol and/or drug services |
224 |
52 |
$39K |
| H0015 |
Alcohol and/or drug services |
481 |
122 |
$23K |
| H0020 |
Alcohol and/or drug services |
4,829 |
1,692 |
$20K |
| 90836 |
|
246 |
224 |
$18K |
| S9485 |
Crisis intervention mental h |
26 |
25 |
$14K |
| 90847 |
|
190 |
82 |
$13K |
| 99212 |
|
150 |
147 |
$7K |
| H0006 |
Alcohol and/or drug services |
225 |
117 |
$5K |
| H0004 |
Alcohol and/or drug services |
120 |
58 |
$5K |
| T1003 |
Lpn/lvn services up to 15min |
962 |
352 |
$5K |
| 96137 |
|
22 |
22 |
$4K |
| 99442 |
|
498 |
459 |
$4K |
| H0048 |
Spec coll non-blood:a/d test |
1,098 |
695 |
$4K |
| 96131 |
|
19 |
19 |
$3K |
| 99443 |
|
318 |
298 |
$2K |
| 81025 |
|
340 |
304 |
$2K |
| H0005 |
Alcohol and/or drug services |
109 |
64 |
$2K |
| 96130 |
|
24 |
23 |
$1K |
| 96136 |
|
22 |
22 |
$683.88 |
| G2211 |
Complex e/m visit add on |
201 |
159 |
$2.09 |
| G8417 |
Calc bmi abv up param f/u |
918 |
850 |
$0.08 |
| G8419 |
Calc bmi out nrm param nof/u |
1,899 |
1,761 |
$0.05 |
| G8420 |
Calc bmi norm parameters |
746 |
688 |
$0.04 |
| 3077F |
|
580 |
520 |
$0.00 |
| 3078F |
|
2,383 |
2,145 |
$0.00 |
| 1110F |
|
513 |
429 |
$0.00 |
| 3075F |
|
1,269 |
1,159 |
$0.00 |
| 3074F |
|
2,112 |
1,918 |
$0.00 |
| 3008F |
|
3,704 |
3,426 |
$0.00 |
| 1111F |
|
70 |
57 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
130 |
121 |
$0.00 |
| 3080F |
|
853 |
770 |
$0.00 |
| 3079F |
|
725 |
671 |
$0.00 |
| 1034F |
|
73 |
66 |
$0.00 |