| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Comm bh clinic svc per diem |
78,056 |
17,318 |
$9.95M |
| 90837 |
|
10,640 |
5,550 |
$258.92 |
| 99203 |
|
1,148 |
1,060 |
$80.31 |
| 90834 |
|
4,242 |
2,818 |
$73.92 |
| H2017 |
Psysoc rehab svc, per 15 min |
2,399 |
1,154 |
$57.52 |
| 96127 |
|
1,387 |
1,216 |
$13.60 |
| 99213 |
|
3,528 |
3,019 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
4,131 |
1,140 |
$0.00 |
| 86580 |
|
76 |
48 |
$0.00 |
| 99214 |
|
1,112 |
975 |
$0.00 |
| Q3014 |
Telehealth facility fee |
1,881 |
1,073 |
$0.00 |
| T1016 |
Case management |
2,107 |
756 |
$0.00 |
| 90847 |
|
14 |
13 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
135 |
108 |
$0.00 |
| 90832 |
|
1,497 |
1,114 |
$0.00 |
| 80305 |
|
1,934 |
807 |
$0.00 |
| 90853 |
|
13,272 |
2,703 |
$0.00 |
| T1017 |
Targeted case management |
5,609 |
2,314 |
$0.00 |
| H0005 |
Alcohol and/or drug services |
9,562 |
2,059 |
$0.00 |
| 90791 |
|
2,686 |
2,401 |
$0.00 |
| H0047 |
Alcohol/drug abuse svc nos |
4,598 |
1,976 |
$0.00 |
| H2014 |
Skills train and dev, 15 min |
4,225 |
1,458 |
$0.00 |
| 99204 |
|
430 |
384 |
$0.00 |
| 99212 |
|
36 |
36 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$0.00 |
| H0015 |
Alcohol and/or drug services |
292 |
104 |
$0.00 |
| 90836 |
|
18 |
12 |
$0.00 |
| 99211 |
|
51 |
33 |
$0.00 |