| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
73,672 |
64,033 |
$4.97M |
| T1016 |
Case management |
124,097 |
56,965 |
$4.53M |
| S9480 |
Intensive outpatient psychia |
19,348 |
4,273 |
$3.31M |
| S5102 |
Adult day care per diem |
11,093 |
7,641 |
$2.13M |
| 90791 |
|
9,818 |
9,222 |
$1.73M |
| 90837 |
|
16,964 |
10,013 |
$1.64M |
| 90833 |
|
43,637 |
38,614 |
$1.60M |
| 99490 |
Ccm add 20min |
35,292 |
31,832 |
$858K |
| 90792 |
|
6,756 |
6,351 |
$613K |
| H0015 |
Alcohol and/or drug services |
4,405 |
819 |
$549K |
| T2001 |
N-et; patient attend/escort |
31,225 |
8,281 |
$408K |
| 99215 |
Prolong outpt/office vis |
3,821 |
3,480 |
$358K |
| 99233 |
Prolong inpt eval add15 m |
3,706 |
1,290 |
$344K |
| 90834 |
|
4,805 |
3,239 |
$323K |
| 99223 |
Prolong inpt eval add15 m |
1,737 |
1,635 |
$309K |
| Q3014 |
Telehealth facility fee |
13,951 |
10,993 |
$273K |
| 99309 |
|
6,393 |
3,161 |
$251K |
| 99495 |
|
3,282 |
182 |
$246K |
| H0043 |
Supported housing, per diem |
3,177 |
139 |
$233K |
| H2017 |
Psysoc rehab svc, per 15 min |
3,035 |
763 |
$231K |
| H0047 |
Alcohol/drug abuse svc nos |
1,373 |
1,131 |
$226K |
| H0002 |
Alcohol and/or drug screenin |
7,083 |
6,592 |
$187K |
| 80307 |
|
6,348 |
4,396 |
$142K |
| G0480 |
Drug test def 1-7 classes |
3,499 |
2,493 |
$120K |
| 99213 |
|
2,071 |
1,942 |
$105K |
| 99239 |
|
794 |
763 |
$85K |
| 99232 |
|
1,649 |
805 |
$80K |
| 90832 |
|
1,507 |
1,247 |
$73K |
| 90853 |
|
2,849 |
1,574 |
$72K |
| H2011 |
Crisis interven svc, 15 min |
303 |
224 |
$59K |
| H0001 |
Alcohol and/or drug assess |
569 |
522 |
$57K |
| H2014 |
Skills train and dev, 15 min |
1,290 |
338 |
$52K |
| 96372 |
|
3,408 |
3,001 |
$40K |
| G0481 |
Drug test def 8-14 classes |
764 |
487 |
$32K |
| 99205 |
Prolong outpt/office vis |
175 |
168 |
$29K |
| H0031 |
Mh health assess by non-md |
197 |
180 |
$28K |
| 90868 |
|
132 |
12 |
$25K |
| 99211 |
|
1,207 |
1,056 |
$19K |
| 87635 |
|
310 |
291 |
$14K |
| 99306 |
Prolong nursin fac eval 15m |
130 |
121 |
$11K |
| 99204 |
|
118 |
111 |
$11K |
| 99238 |
|
151 |
149 |
$10K |
| 82075 |
|
1,284 |
1,045 |
$9K |
| G0482 |
Drug test def 15-21 classes |
104 |
72 |
$8K |
| 86580 |
|
1,759 |
1,537 |
$6K |
| 99310 |
Prolong nursin fac eval 15m |
76 |
73 |
$4K |
| G0506 |
Comp asses care plan ccm svc |
148 |
135 |
$4K |
| 90839 |
|
34 |
32 |
$3K |
| H0005 |
Alcohol and/or drug services |
153 |
54 |
$3K |
| 98966 |
|
859 |
758 |
$3K |
| H0034 |
Med trng & support per 15min |
149 |
143 |
$2K |
| 99350 |
Prolong home eval add 15m |
47 |
32 |
$2K |
| 99396 |
|
14 |
14 |
$2K |
| 90836 |
|
41 |
41 |
$1K |
| 99407 |
|
174 |
156 |
$1K |
| G0483 |
Drug test def 22+ classes |
26 |
21 |
$1K |
| 99328 |
|
14 |
12 |
$928.94 |
| 99345 |
Prolong home eval add 15m |
12 |
12 |
$794.48 |
| 80305 |
|
408 |
367 |
$774.92 |
| 36415 |
|
203 |
184 |
$668.74 |
| 99349 |
|
44 |
37 |
$576.17 |
| 99212 |
|
20 |
20 |
$570.00 |
| 81025 |
|
111 |
93 |
$393.12 |
| 99439 |
|
13 |
12 |
$247.50 |
| 99406 |
|
14 |
13 |
$131.81 |
| 80306 |
|
387 |
371 |
$119.76 |
| 98967 |
|
32 |
27 |
$116.34 |
| 82962 |
|
55 |
48 |
$62.38 |
| H0049 |
Alcohol/drug screening |
71 |
69 |
$48.75 |
| J0401 |
Inj, abilify maintena, 1 mg |
466 |
432 |
$7.08 |
| J2426 |
Inj, invega sustenna, 1 mg |
817 |
717 |
$0.17 |
| 4000F |
|
22 |
19 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
22 |
14 |
$0.00 |
| 3008F |
|
95 |
72 |
$0.00 |
| 99308 |
|
17 |
13 |
$0.00 |
| 1034F |
|
25 |
20 |
$0.00 |
| 3074F |
|
69 |
55 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
19 |
16 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 90863 |
|
279 |
130 |
$0.00 |
| H0010 |
Alcohol and/or drug services |
136 |
133 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
34 |
27 |
$0.00 |
| 3078F |
|
51 |
44 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
79 |
63 |
$0.00 |