| Code | Description | Claims | Beneficiaries | Total Paid |
| 90837 |
|
1,736 |
1,454 |
$3K |
| 99214 |
|
160 |
143 |
$615.31 |
| 90834 |
|
788 |
673 |
$300.00 |
| H0004 |
Alcohol and/or drug services |
364 |
213 |
$225.00 |
| 90791 |
|
135 |
110 |
$150.00 |
| 90832 |
|
320 |
273 |
$80.00 |
| H0023 |
Alcohol and/or drug outreach |
537 |
334 |
$70.00 |
| H0034 |
Med trng & support per 15min |
158 |
108 |
$15.00 |
| H0031 |
Mh health assess by non-md |
13 |
12 |
$0.00 |
| T1017 |
Targeted case management |
1,070 |
765 |
$0.00 |
| 99211 |
|
95 |
79 |
$0.00 |
| 90853 |
|
30 |
24 |
$0.00 |
| H2014 |
Skills train and dev, 15 min |
617 |
402 |
$0.00 |
| S9480 |
Intensive outpatient psychia |
69 |
15 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
85 |
54 |
$0.00 |
| H0036 |
Comm psy face-face per 15min |
84 |
50 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
1,151 |
473 |
$0.00 |
| 96372 |
|
73 |
68 |
$0.00 |
| H0018 |
Alcohol and/or drug services |
3,840 |
355 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
68 |
65 |
$0.00 |
| 90792 |
|
15 |
15 |
$0.00 |
| 99213 |
|
14 |
14 |
$0.00 |