| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Alcohol and/or drug services |
28,780 |
1,184 |
$6.17M |
| H2019 |
Ther behav svc, per 15 min |
22,442 |
1,175 |
$4.19M |
| 90853 |
|
60,827 |
4,475 |
$3.97M |
| T2033 |
Res, nos waiver per diem |
8,294 |
1,094 |
$3.59M |
| 99214 |
|
15,377 |
1,809 |
$2.81M |
| 90833 |
|
15,564 |
1,825 |
$1.67M |
| 90837 |
|
5,609 |
2,067 |
$662K |
| S9485 |
Crisis intervention mental h |
615 |
114 |
$543K |
| 90785 |
|
15,967 |
1,946 |
$360K |
| T1016 |
Case management |
5,869 |
2,366 |
$345K |
| H0035 |
Mh partial hosp tx under 24h |
666 |
130 |
$292K |
| 90847 |
|
1,876 |
899 |
$220K |
| 90834 |
|
1,056 |
486 |
$93K |
| 90832 |
|
455 |
288 |
$27K |
| Q3014 |
Telehealth facility fee |
404 |
236 |
$19K |
| H0015 |
Alcohol and/or drug services |
92 |
12 |
$14K |
| H0031 |
Mh health assess by non-md |
24 |
24 |
$12K |
| H0033 |
Oral med adm direct observe |
149 |
14 |
$10K |
| H0046 |
Mental health service, nos |
119 |
116 |
$5K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$4K |
| 90846 |
|
22 |
14 |
$3K |
| T1023 |
Program intake assessment |
24 |
24 |
$1K |