| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
|
27,294 |
13,728 |
$2.86M |
| 99214 |
|
16,737 |
14,884 |
$1.14M |
| T1017 |
Targeted case management |
16,959 |
2,934 |
$971K |
| 99213 |
|
13,107 |
9,877 |
$614K |
| H0006 |
Alcohol and/or drug services |
1,855 |
1,719 |
$416K |
| 90834 |
|
8,457 |
4,740 |
$385K |
| H2012 |
Behav hlth day treat, per hr |
3,488 |
460 |
$371K |
| 90833 |
|
6,098 |
5,468 |
$301K |
| H0004 |
Alcohol and/or drug services |
3,059 |
1,441 |
$281K |
| 90792 |
|
1,200 |
1,148 |
$162K |
| 90791 |
|
1,365 |
1,309 |
$157K |
| 80306 |
|
9,208 |
4,864 |
$144K |
| S9480 |
Intensive outpatient psychia |
767 |
141 |
$111K |
| 80305 |
|
5,154 |
3,449 |
$55K |
| S0201 |
Partial hospitalization serv |
73 |
12 |
$37K |
| 97153 |
|
162 |
25 |
$21K |
| 90853 |
|
1,279 |
517 |
$21K |
| 90847 |
|
252 |
150 |
$20K |
| G9012 |
Other specified case mgmt |
78 |
78 |
$18K |
| 99051 |
|
1,578 |
892 |
$18K |
| H2033 |
Multisys ther/juvenile 15min |
97 |
13 |
$18K |
| Q3014 |
Telehealth facility fee |
694 |
600 |
$15K |
| H0031 |
Mh health assess by non-md |
109 |
104 |
$15K |
| H0015 |
Alcohol and/or drug services |
53 |
12 |
$13K |
| 90832 |
|
125 |
112 |
$6K |
| H0046 |
Mental health service, nos |
70 |
13 |
$6K |
| 99215 |
Prolong outpt/office vis |
42 |
41 |
$4K |
| 90846 |
|
66 |
42 |
$4K |
| H0049 |
Alcohol/drug screening |
13 |
12 |
$60.00 |
| 99072 |
|
72 |
47 |
$0.00 |