| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
36,240 |
36,199 |
$12.47M |
| H0023 |
Alcohol and/or drug outreach |
35,481 |
32,702 |
$11.02M |
| T2022 |
Case management, per month |
16,791 |
15,827 |
$2.21M |
| T2023 |
Targeted case mgmt per month |
5,282 |
5,185 |
$1.57M |
| H0039 |
Asser com tx face-face/15min |
3,326 |
1,849 |
$1.04M |
| H0020 |
Alcohol and/or drug services |
130,576 |
5,937 |
$915K |
| H0040 |
Assert comm tx pgm per diem |
6,044 |
1,599 |
$633K |
| H2019 |
Ther behav svc, per 15 min |
3,069 |
369 |
$632K |
| T1027 |
Family training & counseling |
6,302 |
3,765 |
$625K |
| 99213 |
|
15,220 |
12,808 |
$541K |
| S0109 |
Methadone oral 5mg |
143,227 |
5,712 |
$496K |
| H0004 |
Alcohol and/or drug services |
5,947 |
3,872 |
$319K |
| T1023 |
Program intake assessment |
1,691 |
1,524 |
$319K |
| H0036 |
Comm psy face-face per 15min |
877 |
752 |
$121K |
| H0005 |
Alcohol and/or drug services |
4,756 |
1,499 |
$119K |
| H0006 |
Alcohol and/or drug services |
511 |
461 |
$97K |
| 99214 |
|
1,290 |
1,085 |
$84K |
| 96372 |
|
5,224 |
3,755 |
$48K |
| 99215 |
Prolong outpt/office vis |
414 |
384 |
$37K |
| 80305 |
|
3,855 |
1,925 |
$25K |
| Q3014 |
Telehealth facility fee |
1,955 |
1,376 |
$24K |
| 90791 |
|
129 |
117 |
$12K |
| H0032 |
Mh svc plan dev by non-md |
102 |
59 |
$9K |
| 99417 |
Prolong home eval add 15m |
192 |
180 |
$7K |
| 82075 |
|
1,559 |
319 |
$5K |
| 99211 |
|
267 |
146 |
$3K |
| 90834 |
|
42 |
25 |
$3K |
| 36415 |
|
1,129 |
895 |
$2K |
| 90853 |
|
119 |
38 |
$1K |
| 90837 |
|
13 |
12 |
$1K |
| T1024 |
Team evaluation & management |
13 |
12 |
$843.33 |
| 99212 |
|
28 |
21 |
$739.59 |
| 99443 |
|
21 |
17 |
$570.32 |
| 99442 |
|
15 |
13 |
$105.21 |
| T1001 |
Nursing assessment/evaluatn |
158 |
85 |
$105.08 |