| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0011 |
Alcohol and/or drug services |
36,572 |
2,310 |
$9.35M |
| T2023 |
Targeted case mgmt per month |
16,586 |
15,256 |
$5.06M |
| H2020 |
Ther behav svc, per diem |
13,634 |
1,240 |
$2.57M |
| H0035 |
Mh partial hosp tx under 24h |
10,038 |
760 |
$1.83M |
| H2034 |
A/d halfway house, per diem |
7,770 |
601 |
$1.77M |
| 80307 |
|
17,730 |
10,216 |
$791K |
| H0038 |
Self-help/peer svc per 15min |
28,682 |
16,449 |
$511K |
| H0015 |
Alcohol and/or drug services |
4,565 |
638 |
$484K |
| 99213 |
|
15,166 |
6,573 |
$475K |
| 90832 |
|
15,654 |
8,990 |
$469K |
| H2027 |
Psychoed svc, per 15 min |
3,152 |
1,001 |
$244K |
| T1007 |
Treatment plan development |
3,055 |
2,633 |
$154K |
| G0481 |
Drug test def 8-14 classes |
1,391 |
970 |
$139K |
| G0482 |
Drug test def 15-21 classes |
703 |
528 |
$90K |
| 90791 |
|
1,260 |
1,152 |
$87K |
| H2015 |
Comp comm supp svc, 15 min |
2,093 |
682 |
$59K |
| G0480 |
Drug test def 1-7 classes |
530 |
464 |
$45K |
| H0001 |
Alcohol and/or drug assess |
703 |
644 |
$38K |
| H0002 |
Alcohol and/or drug screenin |
538 |
493 |
$28K |
| 90853 |
|
1,197 |
532 |
$10K |
| 99214 |
|
180 |
158 |
$9K |
| 99406 |
|
554 |
422 |
$3K |
| 90834 |
|
61 |
53 |
$3K |
| 99215 |
Prolong outpt/office vis |
46 |
29 |
$2K |
| 99203 |
|
54 |
38 |
$2K |
| H0025 |
Alcohol and/or drug preventi |
155 |
82 |
$2K |
| 99205 |
Prolong outpt/office vis |
16 |
12 |
$1K |
| 90839 |
|
24 |
13 |
$882.08 |
| 36415 |
|
18 |
17 |
$11.16 |
| 99051 |
|
140 |
125 |
$0.00 |
| 99000 |
|
18 |
17 |
$0.00 |