| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Com wrap-around sv, per diem |
1,637 |
1,591 |
$15.10M |
| T1017 |
Targeted case management |
21,580 |
21,564 |
$7.44M |
| H0023 |
Alcohol and/or drug outreach |
8,455 |
7,723 |
$2.56M |
| T2023 |
Targeted case mgmt per month |
4,663 |
4,662 |
$1.49M |
| T2022 |
Case management, per month |
8,650 |
8,170 |
$1.11M |
| 90834 |
|
16,104 |
9,199 |
$1.03M |
| 97150 |
|
1,848 |
761 |
$830K |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
5,292 |
2,184 |
$695K |
| T1027 |
Family training & counseling |
6,458 |
2,463 |
$678K |
| H2017 |
Psysoc rehab svc, per 15 min |
13,916 |
1,765 |
$563K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
4,398 |
1,940 |
$559K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
3,997 |
1,757 |
$477K |
| T2021 |
Day habil waiver per 15 min |
1,506 |
413 |
$394K |
| H2014 |
Skills train and dev, 15 min |
230 |
178 |
$393K |
| 99214 |
|
4,232 |
3,719 |
$246K |
| H0039 |
Asser com tx face-face/15min |
296 |
245 |
$232K |
| 99213 |
|
6,622 |
5,161 |
$195K |
| H0006 |
Alcohol and/or drug services |
948 |
823 |
$183K |
| 90837 |
|
2,543 |
1,405 |
$163K |
| T1023 |
Program intake assessment |
1,083 |
543 |
$143K |
| 99215 |
Prolong outpt/office vis |
1,650 |
1,312 |
$114K |
| H2011 |
Crisis interven svc, 15 min |
347 |
314 |
$101K |
| H0036 |
Comm psy face-face per 15min |
626 |
495 |
$68K |
| 90832 |
|
725 |
538 |
$35K |
| 90853 |
|
1,424 |
497 |
$29K |
| T1024 |
Team evaluation & management |
228 |
181 |
$24K |
| 90791 |
|
208 |
193 |
$19K |
| 90792 |
|
53 |
51 |
$7K |
| 96372 |
|
1,204 |
823 |
$6K |
| Q3014 |
Telehealth facility fee |
442 |
366 |
$6K |
| 99509 |
|
143 |
74 |
$5K |
| H0032 |
Mh svc plan dev by non-md |
30 |
30 |
$2K |
| 90847 |
|
22 |
14 |
$2K |