| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2020 |
Ther behav svc, per diem |
933 |
156 |
$471K |
| H0043 |
Supported housing, per diem |
3,317 |
771 |
$364K |
| G9149 |
Medical home level ii |
637 |
619 |
$99K |
| H0004 |
Alcohol and/or drug services |
22,215 |
14,804 |
$92K |
| 96153 |
|
586 |
224 |
$31K |
| 90837 |
|
22,115 |
13,575 |
$28K |
| 99214 |
|
9,904 |
7,303 |
$14K |
| H0046 |
Mental health service, nos |
18,384 |
15,724 |
$14K |
| 90847 |
|
9,235 |
6,323 |
$11K |
| 90791 |
|
3,697 |
3,522 |
$10K |
| 99215 |
Prolong outpt/office vis |
813 |
591 |
$9K |
| H0001 |
Alcohol and/or drug assess |
44 |
42 |
$6K |
| H2015 |
Comp comm supp svc, 15 min |
9,196 |
6,185 |
$5K |
| 99213 |
|
2,272 |
1,966 |
$2K |
| 90832 |
|
1,168 |
854 |
$2K |
| 90834 |
|
1,437 |
1,076 |
$936.36 |
| H2012 |
Behav hlth day treat, per hr |
3,278 |
793 |
$540.98 |
| T1001 |
Nursing assessment/evaluatn |
599 |
575 |
$428.70 |
| 90792 |
|
340 |
321 |
$422.88 |
| H2011 |
Crisis interven svc, 15 min |
14,869 |
6,153 |
$345.00 |
| 99212 |
|
709 |
570 |
$340.37 |
| 90846 |
|
239 |
189 |
$244.23 |
| 96372 |
|
492 |
419 |
$242.87 |
| 90849 |
|
440 |
249 |
$156.84 |
| H0033 |
Oral med adm direct observe |
453 |
108 |
$149.09 |
| H0038 |
Self-help/peer svc per 15min |
3,927 |
1,476 |
$123.00 |
| 36415 |
|
52 |
52 |
$107.54 |
| 99350 |
Prolong home eval add 15m |
32 |
25 |
$30.93 |
| T1016 |
Case management |
1,179 |
423 |
$17.79 |
| H0023 |
Alcohol and/or drug outreach |
4,669 |
1,315 |
$0.00 |
| 90853 |
|
324 |
185 |
$0.00 |
| 99354 |
|
88 |
67 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
33 |
13 |
$0.00 |