| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Comm bh clinic svc per diem |
738,150 |
177,266 |
$213.14M |
| 99214 |
|
71,836 |
57,019 |
$287K |
| 90834 |
|
34,872 |
18,630 |
$196K |
| 90791 |
|
2,142 |
1,983 |
$40K |
| 90792 |
|
1,739 |
1,515 |
$18K |
| 99213 |
|
1,446 |
1,314 |
$14K |
| 99212 |
|
2,837 |
2,602 |
$8K |
| 99204 |
|
399 |
386 |
$3K |
| 99215 |
Prolong outpt/office vis |
130 |
121 |
$1K |
| 90832 |
|
3,023 |
1,906 |
$1K |
| 90839 |
|
58 |
58 |
$770.25 |
| 90853 |
|
2,079 |
719 |
$40.66 |
| H0025 |
Alcohol and/or drug preventi |
72,036 |
11,841 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
10,769 |
3,975 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
47,593 |
20,319 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
8,138 |
3,975 |
$0.00 |
| 99406 |
|
39 |
39 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
15,882 |
11,192 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
402 |
372 |
$0.00 |
| H2012 |
Behav hlth day treat, per hr |
22,862 |
832 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
1,806 |
323 |
$0.00 |
| H2036 |
A/d tx program, per diem |
66 |
14 |
$0.00 |
| T1017 |
Targeted case management |
11,723 |
3,974 |
$0.00 |
| H2015 |
Comp comm supp svc, 15 min |
22,632 |
6,424 |
$0.00 |
| H0036 |
Comm psy face-face per 15min |
475,270 |
109,570 |
$0.00 |
| H0005 |
Alcohol and/or drug services |
29,548 |
6,196 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
160,263 |
15,933 |
$0.00 |
| H0015 |
Alcohol and/or drug services |
1,574 |
431 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
9,738 |
8,495 |
$0.00 |
| T1003 |
Lpn/lvn services up to 15min |
3,668 |
2,622 |
$0.00 |
| H2010 |
Comprehensive med svc 15 min |
104,511 |
61,772 |
$0.00 |
| H0037 |
Comm psy sup tx pgm per diem |
113,940 |
5,202 |
$0.00 |
| 90837 |
|
271 |
165 |
$0.00 |
| H0031 |
Mh health assess by non-md |
92 |
58 |
$0.00 |