| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Comm bh clinic svc per diem |
216,071 |
48,923 |
$66.22M |
| 99213 |
|
3,615 |
2,741 |
$2K |
| 99214 |
|
10,346 |
8,858 |
$381.78 |
| 90832 |
|
18,357 |
12,428 |
$70.72 |
| H0036 |
Comm psy face-face per 15min |
105,367 |
26,991 |
$66.36 |
| H2017 |
Psysoc rehab svc, per 15 min |
31,417 |
5,107 |
$54.60 |
| Q3014 |
Telehealth facility fee |
4,417 |
3,734 |
$40.36 |
| T1017 |
Targeted case management |
25,211 |
12,131 |
$32.49 |
| S0311 |
Comp mgmt care coord adv ill |
53 |
42 |
$0.00 |
| H2011 |
Crisis interven svc, 15 min |
8,896 |
2,179 |
$0.00 |
| 90785 |
|
1,368 |
877 |
$0.00 |
| 90837 |
|
2,653 |
1,918 |
$0.00 |
| 90791 |
|
870 |
833 |
$0.00 |
| H2024 |
Supported employ, per diem |
130 |
43 |
$0.00 |
| 99212 |
|
15 |
12 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
20 |
13 |
$0.00 |
| 90834 |
|
9,724 |
7,149 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
2,134 |
750 |
$0.00 |
| 90792 |
|
217 |
211 |
$0.00 |
| 90847 |
|
26 |
24 |
$0.00 |
| T1019 |
Personal care ser per 15 min |
64 |
23 |
$0.00 |
| H0040 |
Assert comm tx pgm per diem |
93 |
12 |
$0.00 |