| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Alcohol and/or drug outreach |
58,278 |
56,027 |
$19.31M |
| H2022 |
Com wrap-around sv, per diem |
2,267 |
1,939 |
$15.61M |
| T1017 |
Targeted case management |
28,432 |
28,362 |
$9.78M |
| H0046 |
Mental health service, nos |
55,374 |
5,781 |
$5.30M |
| H0035 |
Mh partial hosp tx under 24h |
45,081 |
3,864 |
$3.81M |
| H0015 |
Alcohol and/or drug services |
12,900 |
1,767 |
$2.77M |
| H0040 |
Assert comm tx pgm per diem |
12,729 |
1,755 |
$2.27M |
| 90837 |
|
19,772 |
12,039 |
$1.81M |
| H2017 |
Psysoc rehab svc, per 15 min |
32,308 |
4,317 |
$1.52M |
| H0039 |
Asser com tx face-face/15min |
1,946 |
1,486 |
$1.22M |
| T2023 |
Targeted case mgmt per month |
3,264 |
3,264 |
$838K |
| H2011 |
Crisis interven svc, 15 min |
978 |
580 |
$727K |
| 90791 |
|
4,221 |
3,958 |
$418K |
| 99213 |
|
9,202 |
7,937 |
$349K |
| 90847 |
|
4,987 |
3,177 |
$314K |
| H2012 |
Behav hlth day treat, per hr |
2,471 |
507 |
$274K |
| H0036 |
Comm psy face-face per 15min |
1,739 |
1,060 |
$262K |
| 99490 |
Ccm add 20min |
4,376 |
4,233 |
$248K |
| 90834 |
|
3,753 |
2,970 |
$233K |
| 90832 |
|
4,090 |
3,114 |
$199K |
| 99214 |
|
3,866 |
3,174 |
$183K |
| 99212 |
|
5,326 |
4,867 |
$164K |
| A0120 |
Noner transport mini-bus |
7,404 |
470 |
$115K |
| Q3014 |
Telehealth facility fee |
3,759 |
3,527 |
$83K |
| H0032 |
Mh svc plan dev by non-md |
820 |
638 |
$41K |
| 96372 |
|
3,501 |
2,606 |
$28K |
| 80305 |
|
3,697 |
1,576 |
$28K |
| H0006 |
Alcohol and/or drug services |
150 |
92 |
$18K |
| 80307 |
|
146 |
88 |
$6K |
| 99215 |
Prolong outpt/office vis |
46 |
42 |
$5K |
| 90846 |
|
61 |
52 |
$4K |
| 99205 |
Prolong outpt/office vis |
61 |
51 |
$3K |
| 99204 |
|
13 |
13 |
$2K |
| 90853 |
|
95 |
38 |
$2K |
| 90889 |
|
16 |
12 |
$1K |
| 99443 |
|
117 |
64 |
$583.53 |
| T2022 |
Case management, per month |
130 |
129 |
$132.00 |