| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
36,243 |
5,732 |
$1.53M |
| 90853 |
|
18,387 |
2,722 |
$602K |
| 99214 |
|
3,213 |
2,453 |
$131K |
| 90832 |
|
2,244 |
1,611 |
$87K |
| 90837 |
|
1,145 |
712 |
$81K |
| H0004 |
Alcohol and/or drug services |
834 |
559 |
$62K |
| 90847 |
|
752 |
516 |
$53K |
| H2015 |
Comp comm supp svc, 15 min |
742 |
387 |
$51K |
| 99213 |
|
1,188 |
947 |
$37K |
| 90792 |
|
300 |
244 |
$31K |
| 90885 |
|
583 |
513 |
$28K |
| 90834 |
|
493 |
350 |
$24K |
| 90887 |
|
361 |
159 |
$22K |
| H0019 |
Alcohol and/or drug services |
98 |
58 |
$19K |
| 90791 |
|
136 |
128 |
$14K |
| T2020 |
Day habil waiver per diem |
251 |
93 |
$12K |
| H2019 |
Ther behav svc, per 15 min |
90 |
37 |
$7K |
| H2011 |
Crisis interven svc, 15 min |
57 |
40 |
$4K |
| Q3014 |
Telehealth facility fee |
1,437 |
1,231 |
$4K |
| 90846 |
|
19 |
13 |
$1K |
| S0220 |
Medical conference by physic |
13 |
13 |
$806.40 |
| T1502 |
Medication admin visit |
101 |
69 |
$237.60 |