| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Alcohol and/or drug services |
133,568 |
11,326 |
$38.17M |
| H2016 |
Comp comm supp svc, per diem |
96,780 |
3,279 |
$4.15M |
| H2036 |
A/d tx program, per diem |
3,170 |
282 |
$749K |
| 90853 |
|
15,406 |
4,327 |
$680K |
| 87635 |
|
8,412 |
3,714 |
$580K |
| H2019 |
Ther behav svc, per 15 min |
8,580 |
2,513 |
$468K |
| 90837 |
|
3,551 |
1,848 |
$446K |
| 90834 |
|
2,003 |
1,279 |
$188K |
| 90832 |
|
2,681 |
1,511 |
$147K |
| H0006 |
Alcohol and/or drug services |
2,972 |
1,680 |
$105K |
| T1017 |
Targeted case management |
2,275 |
1,135 |
$99K |
| H2017 |
Psysoc rehab svc, per 15 min |
3,522 |
1,549 |
$98K |
| H0038 |
Self-help/peer svc per 15min |
1,666 |
509 |
$47K |
| 99214 |
|
468 |
428 |
$40K |
| H0046 |
Mental health service, nos |
209 |
128 |
$25K |
| 90791 |
|
97 |
85 |
$25K |
| 99204 |
|
180 |
180 |
$21K |
| 80307 |
|
2,777 |
456 |
$16K |
| 99205 |
Prolong outpt/office vis |
57 |
57 |
$8K |
| 99213 |
|
52 |
52 |
$3K |
| T2024 |
Serv asmnt/care plan waiver |
17 |
12 |
$875.11 |
| 99211 |
|
24 |
24 |
$384.79 |
| H0003 |
Alcohol and/or drug screenin |
318 |
57 |
$0.00 |
| T1001 |
Nursing assessment/evaluatn |
19 |
16 |
$0.00 |
| 91305 |
|
22 |
22 |
$0.00 |
| 96372 |
|
21 |
21 |
$0.00 |