| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care ser per diem |
25,192 |
1,015 |
$11.19M |
| H0004 |
Alcohol and/or drug services |
20,354 |
11,280 |
$2.24M |
| H0019 |
Alcohol and/or drug services |
2,388 |
110 |
$1.32M |
| H2014 |
Skills train and dev, 15 min |
18,347 |
8,743 |
$1.22M |
| H0038 |
Self-help/peer svc per 15min |
16,648 |
8,064 |
$1.19M |
| T1019 |
Personal care ser per 15 min |
7,660 |
324 |
$717K |
| 99214 |
|
5,035 |
4,643 |
$646K |
| H0032 |
Mh svc plan dev by non-md |
3,406 |
3,312 |
$430K |
| 90847 |
|
2,190 |
1,581 |
$392K |
| 90837 |
|
1,831 |
1,077 |
$332K |
| H2000 |
Comp multidisipln evaluation |
2,224 |
2,182 |
$269K |
| 90846 |
|
1,625 |
1,090 |
$249K |
| H0031 |
Mh health assess by non-md |
1,515 |
1,456 |
$180K |
| H0037 |
Comm psy sup tx pgm per diem |
702 |
56 |
$155K |
| 99213 |
|
723 |
701 |
$63K |
| 99215 |
Prolong outpt/office vis |
578 |
538 |
$59K |
| 90834 |
|
214 |
161 |
$30K |
| 90792 |
|
100 |
97 |
$25K |
| 99212 |
|
120 |
119 |
$7K |
| 90832 |
|
33 |
27 |
$3K |
| T1016 |
Case management |
72 |
25 |
$3K |
| 90853 |
|
20 |
12 |
$2K |
| 90899 |
|
1,335 |
400 |
$0.00 |