| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Alcohol and/or drug outreach |
60,182 |
58,870 |
$19.62M |
| T1017 |
Targeted case management |
36,877 |
36,841 |
$12.64M |
| T2033 |
Res, nos waiver per diem |
1,652 |
1,526 |
$12.10M |
| H0015 |
Alcohol and/or drug services |
31,075 |
5,052 |
$7.36M |
| H0010 |
Alcohol and/or drug services |
7,087 |
999 |
$3.18M |
| T2023 |
Targeted case mgmt per month |
8,979 |
8,967 |
$2.73M |
| H0035 |
Mh partial hosp tx under 24h |
6,561 |
1,673 |
$2.23M |
| H0046 |
Mental health service, nos |
19,190 |
2,787 |
$2.20M |
| H2011 |
Crisis interven svc, 15 min |
2,542 |
2,121 |
$1.72M |
| H0040 |
Assert comm tx pgm per diem |
8,024 |
1,475 |
$1.42M |
| 99213 |
|
33,097 |
30,459 |
$1.22M |
| 90791 |
|
10,647 |
10,342 |
$1.22M |
| H0036 |
Comm psy face-face per 15min |
4,050 |
3,110 |
$1.18M |
| 90834 |
|
14,312 |
8,346 |
$1.09M |
| H0039 |
Asser com tx face-face/15min |
1,212 |
1,104 |
$1.00M |
| H0006 |
Alcohol and/or drug services |
3,725 |
3,618 |
$867K |
| S0201 |
Partial hospitalization serv |
1,686 |
259 |
$751K |
| H2017 |
Psysoc rehab svc, per 15 min |
5,786 |
1,049 |
$653K |
| 90837 |
|
4,759 |
2,725 |
$550K |
| 99214 |
|
7,221 |
6,508 |
$424K |
| 99215 |
Prolong outpt/office vis |
2,689 |
2,542 |
$257K |
| 90853 |
|
9,628 |
3,954 |
$201K |
| Q3014 |
Telehealth facility fee |
9,480 |
8,796 |
$175K |
| 80305 |
|
13,482 |
6,831 |
$146K |
| 90889 |
|
684 |
675 |
$137K |
| H2018 |
Psysoc rehab svc, per diem |
159 |
28 |
$134K |
| 99490 |
Ccm add 20min |
1,867 |
1,863 |
$99K |
| H2019 |
Ther behav svc, per 15 min |
246 |
37 |
$80K |
| 96372 |
|
9,619 |
7,216 |
$70K |
| 90832 |
|
788 |
667 |
$50K |
| H0032 |
Mh svc plan dev by non-md |
751 |
432 |
$47K |
| 90785 |
|
3,003 |
1,747 |
$37K |
| 99205 |
Prolong outpt/office vis |
318 |
299 |
$33K |
| H0005 |
Alcohol and/or drug services |
361 |
145 |
$10K |
| H2036 |
A/d tx program, per diem |
46 |
12 |
$9K |
| 99204 |
|
86 |
78 |
$8K |
| 99212 |
|
183 |
169 |
$6K |
| 82075 |
|
1,548 |
1,094 |
$5K |
| 99203 |
|
82 |
80 |
$5K |
| 87426 |
|
182 |
164 |
$2K |
| 99211 |
|
160 |
149 |
$1K |
| 80061 |
|
97 |
94 |
$750.32 |
| 82948 |
|
107 |
105 |
$202.72 |
| 36416 |
|
111 |
107 |
$30.76 |