| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Alcohol and/or drug services |
25,249 |
4,051 |
$18.85M |
| H0040 |
Assert comm tx pgm per diem |
95,176 |
9,375 |
$12.90M |
| H0037 |
Comm psy sup tx pgm per diem |
9,709 |
8,944 |
$3.71M |
| T1020 |
Personal care ser per diem |
969 |
817 |
$3.07M |
| H2017 |
Psysoc rehab svc, per 15 min |
34,738 |
3,107 |
$2.40M |
| H2018 |
Psysoc rehab svc, per diem |
12,270 |
942 |
$1.95M |
| 90834 |
|
17,861 |
7,071 |
$1.69M |
| H0038 |
Self-help/peer svc per 15min |
5,648 |
843 |
$734K |
| H0036 |
Comm psy face-face per 15min |
35,747 |
5,888 |
$734K |
| T1017 |
Targeted case management |
2,173 |
1,380 |
$550K |
| H0046 |
Mental health service, nos |
5,388 |
523 |
$423K |
| 99211 |
|
7,324 |
4,670 |
$377K |
| 90837 |
|
6,765 |
3,761 |
$289K |
| H0015 |
Alcohol and/or drug services |
7,066 |
1,179 |
$283K |
| H0034 |
Med trng & support per 15min |
2,803 |
2,276 |
$234K |
| H2019 |
Ther behav svc, per 15 min |
601 |
67 |
$218K |
| 90832 |
|
3,625 |
2,907 |
$159K |
| H2031 |
Mh clubhouse svc, per diem |
3,402 |
687 |
$156K |
| 99213 |
|
6,017 |
4,916 |
$147K |
| X0341 |
|
273 |
38 |
$87K |
| 99999 |
|
114 |
25 |
$77K |
| 99214 |
|
2,005 |
1,598 |
$75K |
| 90792 |
|
487 |
449 |
$53K |
| T1016 |
Case management |
24,364 |
5,409 |
$5K |
| 90853 |
|
572 |
151 |
$5K |
| 90791 |
|
173 |
167 |
$3K |
| H2015 |
Comp comm supp svc, 15 min |
32 |
17 |
$558.25 |
| 99407 |
|
14 |
12 |
$465.36 |
| 99442 |
|
21 |
12 |
$179.52 |
| 99212 |
|
21 |
12 |
$57.48 |
| H0048 |
Spec coll non-blood:a/d test |
49 |
28 |
$0.00 |