| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
34,335 |
26,330 |
$8.86M |
| S5161 |
Emer rspns sys serv permonth |
3,127 |
3,124 |
$7.09M |
| H0036 |
Comm psy face-face per 15min |
19,731 |
6,457 |
$6.54M |
| 90837 |
|
15,691 |
9,331 |
$5.21M |
| H0039 |
Asser com tx face-face/15min |
15,015 |
3,251 |
$4.66M |
| T1016 |
Case management |
15,718 |
13,706 |
$3.72M |
| H2030 |
Mh clubhouse svc, per 15 min |
27,990 |
3,737 |
$3.39M |
| 99214 |
|
12,810 |
11,689 |
$3.34M |
| 99213 |
|
12,464 |
11,701 |
$2.47M |
| H2021 |
Com wrap-around sv, 15 min |
4,459 |
1,848 |
$1.93M |
| H0038 |
Self-help/peer svc per 15min |
6,057 |
2,858 |
$1.62M |
| 96372 |
|
9,069 |
6,652 |
$1.60M |
| 90834 |
|
5,931 |
4,464 |
$1.47M |
| 90847 |
|
3,503 |
2,197 |
$1.02M |
| 90832 |
|
5,976 |
4,266 |
$965K |
| H0002 |
Alcohol and/or drug screenin |
1,854 |
1,818 |
$871K |
| 99215 |
Prolong outpt/office vis |
2,593 |
2,283 |
$800K |
| H0031 |
Mh health assess by non-md |
1,885 |
1,800 |
$740K |
| 90792 |
|
915 |
902 |
$541K |
| T1023 |
Program intake assessment |
666 |
635 |
$450K |
| 90791 |
|
1,000 |
992 |
$436K |
| 90853 |
|
583 |
263 |
$172K |
| H2015 |
Comp comm supp svc, 15 min |
2,938 |
1,130 |
$163K |
| S5111 |
Family homecare train/sessio |
423 |
198 |
$149K |
| T1005 |
Respite care service 15 min |
1,670 |
478 |
$89K |
| H2011 |
Crisis interven svc, 15 min |
163 |
156 |
$46K |
| Q3014 |
Telehealth facility fee |
1,689 |
1,529 |
$43K |
| S0280 |
Medical home, initial plan |
1,624 |
429 |
$30K |
| H2000 |
Comp multidisipln evaluation |
236 |
232 |
$16K |
| H0032 |
Mh svc plan dev by non-md |
104 |
95 |
$10K |
| 99212 |
|
31 |
30 |
$5K |
| T1002 |
Rn services up to 15 minutes |
35 |
25 |
$5K |
| 90846 |
|
17 |
12 |
$4K |
| T2029 |
Special med equip, noswaiver |
26 |
12 |
$3K |