| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
123,144 |
6,682 |
$22.52M |
| H0004 |
Alcohol and/or drug services |
177,543 |
70,701 |
$15.18M |
| H0040 |
Assert comm tx pgm per diem |
186,611 |
6,663 |
$15.10M |
| H0036 |
Comm psy face-face per 15min |
15,587 |
3,018 |
$4.30M |
| Q3014 |
Telehealth facility fee |
124,573 |
77,325 |
$2.90M |
| 99213 |
|
50,109 |
44,979 |
$2.68M |
| H0031 |
Mh health assess by non-md |
16,574 |
14,649 |
$2.55M |
| S0281 |
Medical home, maintenance |
36,217 |
34,002 |
$2.22M |
| 99212 |
|
53,093 |
30,848 |
$1.76M |
| 90792 |
|
11,589 |
11,085 |
$1.41M |
| 99214 |
|
17,735 |
16,576 |
$1.36M |
| T1040 |
Comm bh clinic svc per diem |
2,719 |
1,806 |
$852K |
| 80307 |
|
13,966 |
9,717 |
$778K |
| H0032 |
Mh svc plan dev by non-md |
7,864 |
4,333 |
$639K |
| H0015 |
Alcohol and/or drug services |
2,182 |
286 |
$249K |
| 99215 |
Prolong outpt/office vis |
1,804 |
1,691 |
$182K |
| 90837 |
|
4,597 |
3,386 |
$168K |
| H0038 |
Self-help/peer svc per 15min |
2,573 |
969 |
$124K |
| T1017 |
Targeted case management |
2,706 |
1,925 |
$92K |
| A0120 |
Noner transport mini-bus |
9,427 |
2,961 |
$70K |
| 81025 |
|
6,030 |
4,958 |
$47K |
| 99211 |
|
3,254 |
2,814 |
$45K |
| H2011 |
Crisis interven svc, 15 min |
422 |
392 |
$40K |
| U0002 |
Covid-19 lab test non-cdc |
971 |
914 |
$40K |
| 99204 |
|
337 |
320 |
$21K |
| A0160 |
Noner transport case worker |
2,158 |
935 |
$18K |
| 96372 |
|
3,785 |
3,439 |
$15K |
| 99205 |
Prolong outpt/office vis |
93 |
89 |
$8K |
| 90853 |
|
377 |
115 |
$8K |
| 90834 |
|
134 |
104 |
$7K |
| T1016 |
Case management |
72 |
25 |
$4K |
| G9008 |
Mccd,phys coor-care ovrsght |
53 |
37 |
$2K |
| 90791 |
|
26 |
24 |
$1K |
| 99203 |
|
18 |
12 |
$656.73 |
| 99202 |
|
121 |
118 |
$0.00 |