| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
54,095 |
11,310 |
$3.63M |
| 90837 |
|
19,025 |
11,490 |
$3.19M |
| H2017 |
Psysoc rehab svc, per 15 min |
54,044 |
5,014 |
$2.64M |
| H2016 |
Comp comm supp svc, per diem |
14,197 |
512 |
$2.28M |
| 90834 |
|
9,223 |
7,150 |
$1.03M |
| H0046 |
Mental health service, nos |
26,164 |
4,436 |
$905K |
| 90832 |
|
12,447 |
8,858 |
$716K |
| 99213 |
|
7,416 |
4,928 |
$702K |
| 90791 |
|
4,141 |
3,626 |
$637K |
| H2019 |
Ther behav svc, per 15 min |
16,529 |
4,953 |
$569K |
| 99214 |
|
5,093 |
4,168 |
$524K |
| H2014 |
Skills train and dev, 15 min |
7,745 |
2,205 |
$436K |
| 90853 |
|
12,158 |
2,709 |
$369K |
| H0038 |
Self-help/peer svc per 15min |
5,990 |
1,992 |
$365K |
| H0006 |
Alcohol and/or drug services |
18,658 |
3,416 |
$299K |
| T1001 |
Nursing assessment/evaluatn |
8,840 |
4,928 |
$293K |
| H2000 |
Comp multidisipln evaluation |
888 |
545 |
$288K |
| 90839 |
|
1,460 |
1,042 |
$182K |
| 90792 |
|
818 |
772 |
$175K |
| 99211 |
|
1,582 |
738 |
$71K |
| H2027 |
Psychoed svc, per 15 min |
623 |
171 |
$70K |
| 90847 |
|
244 |
133 |
$28K |
| 96372 |
|
1,728 |
1,379 |
$25K |
| S5150 |
Unskilled respite care /15m |
115 |
88 |
$22K |
| 99215 |
Prolong outpt/office vis |
64 |
56 |
$11K |
| 90840 |
|
130 |
101 |
$8K |
| 99354 |
|
29 |
25 |
$0.00 |