| Code | Description | Claims | Beneficiaries | Total Paid |
| H0034 |
Med trng & support per 15min |
865,462 |
538,647 |
$225.48M |
| H2015 |
Comp comm supp svc, 15 min |
1,315,018 |
442,826 |
$220.90M |
| H0019 |
Alcohol and/or drug services |
772,212 |
42,396 |
$179.07M |
| H2017 |
Psysoc rehab svc, per 15 min |
1,093,222 |
318,566 |
$160.94M |
| T1017 |
Targeted case management |
865,575 |
305,820 |
$144.70M |
| S9484 |
Crisis intervention per hour |
97,823 |
83,936 |
$78.25M |
| 90837 |
|
125,205 |
57,799 |
$64.70M |
| H0020 |
Alcohol and/or drug services |
2,404,069 |
94,807 |
$36.59M |
| H2019 |
Ther behav svc, per 15 min |
79,200 |
7,873 |
$33.35M |
| H0038 |
Self-help/peer svc per 15min |
95,576 |
37,267 |
$30.51M |
| H0004 |
Alcohol and/or drug services |
203,378 |
117,033 |
$28.36M |
| H0018 |
Alcohol and/or drug services |
76,121 |
8,409 |
$27.29M |
| H2010 |
Comprehensive med svc 15 min |
62,978 |
50,131 |
$20.86M |
| 90834 |
|
59,243 |
36,423 |
$19.62M |
| H2011 |
Crisis interven svc, 15 min |
56,024 |
11,217 |
$18.87M |
| H2013 |
Psych hlth fac svc, per diem |
17,314 |
3,143 |
$17.41M |
| H0005 |
Alcohol and/or drug services |
179,011 |
31,034 |
$12.47M |
| G2212 |
Prolong outpt/office vis |
33,001 |
22,491 |
$12.35M |
| H0012 |
Alcohol and/or drug services |
36,037 |
6,271 |
$8.84M |
| 99232 |
|
9,295 |
2,495 |
$7.74M |
| 90847 |
|
17,448 |
10,852 |
$7.30M |
| H0025 |
Alcohol and/or drug preventi |
62,686 |
11,255 |
$7.26M |
| 99231 |
|
8,531 |
1,989 |
$5.13M |
| 90832 |
|
19,062 |
13,478 |
$4.32M |
| 99205 |
Prolong outpt/office vis |
2,610 |
2,590 |
$4.29M |
| 99239 |
|
2,111 |
2,046 |
$2.39M |
| 90791 |
|
15,435 |
13,270 |
$2.28M |
| S5000 |
Prescription drug, generic |
72,910 |
5,444 |
$2.26M |
| 99222 |
|
1,499 |
1,444 |
$2.09M |
| 99214 |
|
12,681 |
12,306 |
$1.81M |
| 99233 |
Prolong inpt eval add15 m |
1,348 |
425 |
$1.67M |
| 99215 |
Prolong outpt/office vis |
1,208 |
1,197 |
$1.25M |
| H0033 |
Oral med adm direct observe |
6,077 |
1,887 |
$1.08M |
| 99213 |
|
5,302 |
5,160 |
$935K |
| T2021 |
Day habil waiver per 15 min |
1,506 |
934 |
$919K |
| T2024 |
Serv asmnt/care plan waiver |
659 |
647 |
$661K |
| H0050 |
Alcohol/drug service 15 min |
6,428 |
1,361 |
$638K |
| 99221 |
|
555 |
533 |
$565K |
| H0015 |
Alcohol and/or drug services |
6,234 |
695 |
$544K |
| H0014 |
Alcohol and/or drug services |
2,484 |
1,973 |
$497K |
| 99223 |
Prolong inpt eval add15 m |
297 |
265 |
$459K |
| 96137 |
|
366 |
366 |
$456K |
| 96130 |
|
639 |
439 |
$408K |
| 96131 |
|
239 |
239 |
$364K |
| 99238 |
|
885 |
866 |
$283K |
| S0201 |
Partial hospitalization serv |
506 |
63 |
$194K |
| 99212 |
|
2,178 |
2,134 |
$100K |
| 96136 |
|
366 |
366 |
$94K |
| T2007 |
Non-emer transport wait time |
311 |
169 |
$86K |
| H1011 |
Family assessment |
592 |
591 |
$82K |
| 99368 |
|
151 |
56 |
$46K |
| H0006 |
Alcohol and/or drug services |
737 |
417 |
$40K |
| 90792 |
|
195 |
195 |
$34K |
| 99415 |
Prolong outpt/office vis |
15 |
15 |
$28K |
| H2027 |
Psychoed svc, per 15 min |
645 |
641 |
$19K |
| T1027 |
Family training & counseling |
643 |
639 |
$19K |
| 99443 |
|
132 |
103 |
$12K |
| 99204 |
|
68 |
68 |
$11K |
| G8510 |
Scr dep neg, no plan reqd |
4,893 |
4,779 |
$8K |
| H2014 |
Skills train and dev, 15 min |
51 |
12 |
$8K |
| G8431 |
Pos clin depres scrn f/u doc |
1,284 |
1,253 |
$4K |
| 51729 |
|
12 |
12 |
$3K |
| A0140 |
Nonemergency transport air |
170 |
157 |
$3K |
| 87428 |
|
27 |
27 |
$1K |
| 81002 |
|
476 |
450 |
$903.86 |
| 51797 |
|
12 |
12 |
$659.00 |
| 81003 |
|
209 |
207 |
$374.51 |
| 90656 |
|
16 |
16 |
$357.60 |
| 90471 |
|
54 |
54 |
$228.38 |
| 51741 |
|
12 |
12 |
$226.36 |
| 81007 |
|
12 |
12 |
$30.69 |
| 90688 |
|
17 |
17 |
$20.48 |
| 3080F |
|
205 |
200 |
$1.20 |
| G8511 |
Scr dep pos, no plan doc rng |
60 |
57 |
$0.00 |
| 3077F |
|
590 |
577 |
$0.00 |
| 3078F |
|
1,365 |
1,326 |
$0.00 |
| 3075F |
|
533 |
526 |
$0.00 |
| 3079F |
|
1,254 |
1,223 |
$0.00 |
| 3074F |
|
1,715 |
1,654 |
$0.00 |
| 90686 |
|
17 |
17 |
$0.00 |
| H0049 |
Alcohol/drug screening |
12 |
12 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
22 |
22 |
$0.00 |