| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mh partial hosp tx under 24h |
7,381 |
572 |
$843K |
| H0038 |
Self-help/peer svc per 15min |
11,334 |
960 |
$593K |
| H0015 |
Alcohol and/or drug services |
8,029 |
690 |
$502K |
| H0010 |
Alcohol and/or drug services |
3,021 |
154 |
$456K |
| 90837 |
|
3,706 |
1,063 |
$343K |
| 99211 |
|
9,201 |
781 |
$126K |
| 90853 |
|
4,555 |
565 |
$59K |
| 90839 |
|
927 |
311 |
$55K |
| 99212 |
|
1,303 |
257 |
$43K |
| 90847 |
|
580 |
245 |
$40K |
| 90834 |
|
710 |
361 |
$36K |
| 96170 |
|
652 |
232 |
$30K |
| 90849 |
|
1,264 |
173 |
$21K |
| 80305 |
|
2,355 |
725 |
$20K |
| 90791 |
|
209 |
156 |
$20K |
| 99213 |
|
102 |
43 |
$5K |
| 90792 |
|
47 |
32 |
$4K |
| 96159 |
|
113 |
53 |
$4K |
| 96158 |
|
114 |
54 |
$4K |
| 99222 |
|
67 |
59 |
$3K |
| 90838 |
|
114 |
48 |
$2K |
| 90832 |
|
60 |
25 |
$2K |
| 96164 |
|
253 |
92 |
$1K |
| 96165 |
|
120 |
52 |
$1K |
| 96171 |
|
53 |
17 |
$783.04 |
| 99238 |
|
74 |
60 |
$540.59 |
| 90836 |
|
26 |
15 |
$433.71 |
| 90833 |
|
60 |
33 |
$394.12 |
| 90785 |
|
35 |
23 |
$116.00 |
| 90889 |
|
353 |
74 |
$0.00 |
| T2022 |
Case management, per month |
55 |
43 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
27 |
17 |
$0.00 |
| 90885 |
|
118 |
53 |
$0.00 |
| H2032 |
Activity therapy, per 15 min |
117 |
70 |
$0.00 |
| S0201 |
Partial hospitalization serv |
293 |
30 |
$0.00 |
| T2002 |
N-et; per diem |
23 |
22 |
$0.00 |
| T2038 |
Comm trans waiver/service |
54 |
43 |
$0.00 |
| 90863 |
|
38 |
12 |
$0.00 |