| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
51,960 |
26,357 |
$7.64M |
| T1016 |
Case management |
129,118 |
64,446 |
$6.59M |
| H0031 |
Mh health assess by non-md |
11,714 |
11,278 |
$3.43M |
| H0018 |
Alcohol and/or drug services |
15,949 |
791 |
$2.90M |
| 99214 |
|
10,667 |
10,001 |
$1.24M |
| H2014 |
Skills train and dev, 15 min |
12,236 |
3,953 |
$1.23M |
| 99213 |
|
13,260 |
12,245 |
$1.08M |
| 90837 |
|
4,158 |
2,380 |
$740K |
| H2027 |
Psychoed svc, per 15 min |
1,809 |
301 |
$534K |
| 90792 |
|
1,673 |
1,652 |
$495K |
| H2011 |
Crisis interven svc, 15 min |
8,688 |
7,747 |
$468K |
| H0038 |
Self-help/peer svc per 15min |
2,010 |
446 |
$252K |
| S0215 |
Nonemerg transp mileage |
3,290 |
2,204 |
$183K |
| 99212 |
|
2,537 |
2,465 |
$133K |
| 90834 |
|
1,078 |
733 |
$131K |
| 90833 |
|
822 |
780 |
$72K |
| T1002 |
Rn services up to 15 minutes |
1,172 |
906 |
$56K |
| 99203 |
|
550 |
540 |
$47K |
| 90853 |
|
863 |
310 |
$43K |
| S5110 |
Family homecare training 15m |
496 |
384 |
$37K |
| A0160 |
Noner transport case worker |
1,020 |
887 |
$36K |
| A0120 |
Noner transport mini-bus |
3,301 |
2,202 |
$34K |
| 99442 |
|
348 |
327 |
$31K |
| 87635 |
|
433 |
389 |
$28K |
| 80305 |
|
1,771 |
1,362 |
$25K |
| 99211 |
|
535 |
479 |
$12K |
| H0002 |
Alcohol and/or drug screenin |
348 |
343 |
$11K |
| H0025 |
Alcohol and/or drug preventi |
75 |
30 |
$5K |
| 99204 |
|
39 |
38 |
$4K |
| H0001 |
Alcohol and/or drug assess |
102 |
102 |
$4K |
| 90832 |
|
38 |
34 |
$4K |
| 99443 |
|
15 |
13 |
$2K |
| 0013A |
|
31 |
31 |
$2K |
| 0012A |
|
140 |
140 |
$2K |
| 87426 |
|
37 |
31 |
$1K |
| 0134A |
|
26 |
26 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 0011A |
|
108 |
107 |
$861.00 |
| 0031A |
|
38 |
32 |
$740.20 |
| 99202 |
|
17 |
17 |
$689.57 |
| 0064A |
|
13 |
13 |
$630.80 |
| 96372 |
|
30 |
25 |
$507.16 |
| H0046 |
Mental health service, nos |
5,432 |
296 |
$250.69 |
| 90471 |
|
13 |
12 |
$217.59 |
| 96127 |
|
46 |
43 |
$207.23 |
| 36415 |
|
50 |
48 |
$138.41 |
| 91301 |
|
116 |
116 |
$0.02 |
| 3078F |
|
1,282 |
1,209 |
$0.00 |
| 3077F |
|
104 |
99 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
16 |
12 |
$0.00 |
| 3075F |
|
59 |
58 |
$0.00 |
| 3008F |
|
3,822 |
3,530 |
$0.00 |
| 3080F |
|
83 |
78 |
$0.00 |
| 3074F |
|
1,523 |
1,441 |
$0.00 |
| Q3014 |
Telehealth facility fee |
115 |
100 |
$0.00 |
| 3079F |
|
315 |
300 |
$0.00 |