| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
79,036 |
70,101 |
$4.06M |
| H2017 |
Psysoc rehab svc, per 15 min |
45,953 |
4,997 |
$4.01M |
| H2019 |
Ther behav svc, per 15 min |
47,300 |
26,035 |
$2.52M |
| H0032 |
Mh svc plan dev by non-md |
24,837 |
22,277 |
$1.51M |
| H0031 |
Mh health assess by non-md |
42,417 |
25,315 |
$1.47M |
| T1017 |
Targeted case management |
34,211 |
6,752 |
$1.46M |
| H2000 |
Comp multidisipln evaluation |
4,336 |
3,942 |
$779K |
| H0040 |
Assert comm tx pgm per diem |
7,485 |
289 |
$227K |
| 99231 |
|
4,081 |
1,774 |
$103K |
| 99238 |
|
1,495 |
1,377 |
$71K |
| H2030 |
Mh clubhouse svc, per 15 min |
1,345 |
170 |
$66K |
| 99221 |
|
772 |
661 |
$50K |
| 99213 |
|
1,856 |
1,679 |
$50K |
| 99385 |
|
151 |
150 |
$9K |
| G0378 |
Hospital observation per hr |
507 |
106 |
$9K |
| 99386 |
|
60 |
56 |
$5K |
| 3074F |
|
662 |
600 |
$4K |
| 99214 |
|
43 |
42 |
$2K |
| 3077F |
|
284 |
269 |
$1K |
| 99396 |
|
13 |
13 |
$1K |
| 3075F |
|
207 |
203 |
$1K |
| 99395 |
|
13 |
13 |
$800.60 |
| 99406 |
|
59 |
54 |
$337.35 |
| 88150 |
|
12 |
12 |
$142.98 |
| 96372 |
|
31 |
26 |
$105.23 |
| 83036 |
|
31 |
28 |
$36.88 |
| 3079F |
|
400 |
364 |
$28.36 |
| 82962 |
|
45 |
42 |
$23.31 |
| 3078F |
|
555 |
515 |
$0.00 |
| 99218 |
|
363 |
111 |
$0.00 |
| 3080F |
|
218 |
206 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
31 |
31 |
$0.00 |