| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
16,365 |
5,175 |
$5.33M |
| H2015 |
Comp comm supp svc, 15 min |
16,301 |
9,378 |
$4.99M |
| H2010 |
Comprehensive med svc 15 min |
22,494 |
11,013 |
$4.75M |
| H2011 |
Crisis interven svc, 15 min |
4,834 |
2,885 |
$3.73M |
| T1017 |
Targeted case management |
8,201 |
4,796 |
$1.60M |
| H0032 |
Mh svc plan dev by non-md |
6,705 |
4,433 |
$1.11M |
| 99214 |
|
831 |
804 |
$618K |
| 90837 |
|
1,248 |
857 |
$431K |
| G2212 |
Prolong outpt/office vis |
971 |
853 |
$389K |
| 90834 |
|
928 |
712 |
$243K |
| H0034 |
Med trng & support per 15min |
2,035 |
1,470 |
$215K |
| 90839 |
|
415 |
280 |
$121K |
| 99215 |
Prolong outpt/office vis |
85 |
80 |
$88K |
| T2024 |
Serv asmnt/care plan waiver |
72 |
71 |
$68K |
| 90791 |
|
545 |
540 |
$65K |
| 90832 |
|
279 |
253 |
$50K |
| H0005 |
Alcohol and/or drug services |
2,349 |
394 |
$31K |
| 90792 |
|
100 |
100 |
$31K |
| 90840 |
|
109 |
96 |
$29K |
| T2021 |
Day habil waiver per 15 min |
20 |
14 |
$11K |
| 99213 |
|
14 |
14 |
$8K |
| H0004 |
Alcohol and/or drug services |
370 |
206 |
$6K |
| G2011 |
Alcohol/sub misuse assess |
255 |
207 |
$3K |
| T1007 |
Treatment plan development |
164 |
146 |
$2K |
| H0033 |
Oral med adm direct observe |
16 |
15 |
$2K |
| G0396 |
Alcohol/subs interv 15-30mn |
13 |
13 |
$0.00 |
| H0020 |
Alcohol and/or drug services |
802 |
33 |
$0.00 |
| G0397 |
Alcohol/subs interv >30 min |
46 |
42 |
$0.00 |