| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
1,617 |
1,558 |
$82K |
| 90832 |
|
2,866 |
2,030 |
$76K |
| 90837 |
|
1,259 |
955 |
$65K |
| 99233 |
Prolong inpt eval add15 m |
1,261 |
524 |
$36K |
| H2012 |
Behav hlth day treat, per hr |
451 |
39 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
421 |
377 |
$26K |
| 99238 |
|
471 |
424 |
$13K |
| H0046 |
Mental health service, nos |
744 |
525 |
$11K |
| 99213 |
|
1,589 |
1,463 |
$11K |
| 96372 |
|
3,129 |
1,831 |
$7K |
| H2027 |
Psychoed svc, per 15 min |
295 |
249 |
$5K |
| H0034 |
Med trng & support per 15min |
393 |
368 |
$5K |
| 99442 |
|
198 |
194 |
$4K |
| 99443 |
|
142 |
142 |
$3K |
| 99214 |
|
451 |
424 |
$2K |
| 90834 |
|
35 |
31 |
$2K |
| 99211 |
|
809 |
715 |
$2K |
| H2011 |
Crisis interven svc, 15 min |
14 |
13 |
$660.00 |
| 90853 |
|
51 |
36 |
$488.00 |
| J1631 |
Haloperidol decanoate inj |
94 |
36 |
$341.01 |
| H0032 |
Mh svc plan dev by non-md |
14 |
14 |
$260.00 |
| G2012 |
Brief check in by md/qhp |
38 |
16 |
$98.06 |