| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2011 |
Crisis interven svc, 15 min |
26,103 |
5,116 |
$12.14M |
| H0020 |
Alcohol and/or drug services |
417,817 |
16,608 |
$6.34M |
| H0018 |
Alcohol and/or drug services |
12,184 |
817 |
$5.64M |
| H2010 |
Comprehensive med svc 15 min |
11,393 |
2,013 |
$4.37M |
| H0004 |
Alcohol and/or drug services |
40,485 |
16,223 |
$3.43M |
| H2015 |
Comp comm supp svc, 15 min |
15,295 |
6,078 |
$3.14M |
| H2019 |
Ther behav svc, per 15 min |
9,343 |
1,128 |
$2.98M |
| H0031 |
Mh health assess by non-md |
2,858 |
1,302 |
$716K |
| G2212 |
Prolong outpt/office vis |
986 |
759 |
$634K |
| 90837 |
|
1,549 |
901 |
$583K |
| H0005 |
Alcohol and/or drug services |
23,558 |
12,442 |
$576K |
| T1017 |
Targeted case management |
2,206 |
1,107 |
$505K |
| 90792 |
|
704 |
437 |
$449K |
| H0034 |
Med trng & support per 15min |
1,280 |
565 |
$370K |
| H0033 |
Oral med adm direct observe |
1,088 |
327 |
$241K |
| 90834 |
|
494 |
368 |
$140K |
| H0019 |
Alcohol and/or drug services |
1,109 |
51 |
$116K |
| 90791 |
|
555 |
550 |
$75K |
| 90832 |
|
30 |
25 |
$6K |
| 99214 |
|
42 |
42 |
$364.41 |
| 99212 |
|
13 |
13 |
$17.92 |
| 90686 |
|
16 |
16 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| 83655 |
|
30 |
30 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |