| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Alcohol and/or drug outreach |
86,263 |
83,552 |
$28.68M |
| H2022 |
Com wrap-around sv, per diem |
9,597 |
3,485 |
$23.27M |
| 97150 |
|
6,015 |
5,770 |
$10.14M |
| T1017 |
Targeted case management |
23,630 |
23,454 |
$8.12M |
| H2014 |
Skills train and dev, 15 min |
2,064 |
2,002 |
$6.67M |
| H2017 |
Psysoc rehab svc, per 15 min |
77,015 |
6,141 |
$5.00M |
| H0010 |
Alcohol and/or drug services |
3,178 |
1,318 |
$3.52M |
| T2003 |
N-et; encounter/trip |
139,059 |
4,783 |
$2.00M |
| H2011 |
Crisis interven svc, 15 min |
2,050 |
1,182 |
$1.74M |
| H2019 |
Ther behav svc, per 15 min |
5,471 |
726 |
$1.48M |
| H0006 |
Alcohol and/or drug services |
6,052 |
5,527 |
$1.35M |
| T2022 |
Case management, per month |
7,663 |
7,315 |
$1.03M |
| 99213 |
|
20,214 |
16,854 |
$865K |
| H0035 |
Mh partial hosp tx under 24h |
8,559 |
668 |
$814K |
| H0046 |
Mental health service, nos |
6,055 |
1,203 |
$776K |
| 90837 |
|
6,857 |
5,048 |
$763K |
| H0036 |
Comm psy face-face per 15min |
2,288 |
1,542 |
$442K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
3,587 |
1,998 |
$435K |
| 90847 |
|
4,364 |
3,274 |
$378K |
| T2023 |
Targeted case mgmt per month |
1,068 |
1,068 |
$366K |
| 99214 |
|
5,642 |
4,832 |
$329K |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
2,101 |
827 |
$285K |
| 90791 |
|
1,956 |
1,877 |
$263K |
| T1019 |
Personal care ser per 15 min |
724 |
188 |
$227K |
| 90792 |
|
1,726 |
1,531 |
$187K |
| A0100 |
Nonemergency transport taxi |
12,982 |
792 |
$159K |
| 80305 |
|
16,383 |
7,185 |
$144K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
689 |
330 |
$100K |
| S9482 |
Family stabilization 15 min |
160 |
34 |
$98K |
| 90853 |
|
4,597 |
1,748 |
$94K |
| 99211 |
|
7,598 |
3,343 |
$88K |
| H2036 |
A/d tx program, per diem |
130 |
60 |
$84K |
| T1023 |
Program intake assessment |
667 |
405 |
$82K |
| 90834 |
|
1,008 |
866 |
$76K |
| Q3014 |
Telehealth facility fee |
4,266 |
3,431 |
$71K |
| H0032 |
Mh svc plan dev by non-md |
1,361 |
795 |
$61K |
| A0120 |
Noner transport mini-bus |
6,652 |
343 |
$57K |
| T2021 |
Day habil waiver per 15 min |
341 |
318 |
$49K |
| 90832 |
|
845 |
636 |
$47K |
| H0005 |
Alcohol and/or drug services |
931 |
612 |
$29K |
| 82075 |
|
6,387 |
2,723 |
$27K |
| T1012 |
Alcohol/substance abuse skil |
765 |
522 |
$16K |
| 87426 |
|
520 |
427 |
$9K |
| H0014 |
Alcohol and/or drug services |
44 |
44 |
$6K |
| 99212 |
|
195 |
115 |
$5K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$2K |
| 96372 |
|
43 |
34 |
$395.42 |
| S0220 |
Medical conference by physic |
12 |
12 |
$300.00 |
| 81025 |
|
30 |
28 |
$160.60 |