| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2013 |
Psych hlth fac svc, per diem |
19,925 |
2,570 |
$21.69M |
| H2015 |
Comp comm supp svc, 15 min |
126,178 |
26,954 |
$19.83M |
| T1017 |
Targeted case management |
80,611 |
19,734 |
$9.05M |
| H2017 |
Psysoc rehab svc, per 15 min |
51,703 |
7,929 |
$8.77M |
| H2010 |
Comprehensive med svc 15 min |
27,064 |
12,420 |
$5.00M |
| H2011 |
Crisis interven svc, 15 min |
8,640 |
4,936 |
$4.42M |
| H0020 |
Alcohol and/or drug services |
94,607 |
3,542 |
$1.50M |
| H0004 |
Alcohol and/or drug services |
12,727 |
4,859 |
$1.41M |
| 90837 |
|
3,843 |
2,076 |
$1.29M |
| H0032 |
Mh svc plan dev by non-md |
5,477 |
3,865 |
$984K |
| H0019 |
Alcohol and/or drug services |
7,302 |
385 |
$894K |
| 90834 |
|
2,367 |
1,451 |
$625K |
| G2212 |
Prolong outpt/office vis |
2,880 |
2,029 |
$603K |
| 99215 |
Prolong outpt/office vis |
514 |
474 |
$522K |
| H0005 |
Alcohol and/or drug services |
7,126 |
1,355 |
$375K |
| H2000 |
Comp multidisipln evaluation |
1,564 |
653 |
$339K |
| 99214 |
|
338 |
326 |
$239K |
| 90791 |
|
2,041 |
1,522 |
$202K |
| H0033 |
Oral med adm direct observe |
1,468 |
408 |
$184K |
| H0015 |
Alcohol and/or drug services |
2,977 |
367 |
$175K |
| 90832 |
|
978 |
700 |
$165K |
| 90847 |
|
496 |
301 |
$150K |
| 99205 |
Prolong outpt/office vis |
86 |
86 |
$134K |
| 99213 |
|
208 |
206 |
$105K |
| H2014 |
Skills train and dev, 15 min |
838 |
194 |
$104K |
| 90885 |
|
237 |
99 |
$21K |
| T2021 |
Day habil waiver per 15 min |
55 |
39 |
$21K |
| H0031 |
Mh health assess by non-md |
84 |
62 |
$17K |
| G0397 |
Alcohol/subs interv >30 min |
38 |
30 |
$12K |
| 96372 |
|
81 |
77 |
$11K |
| H0006 |
Alcohol and/or drug services |
137 |
134 |
$9K |
| 99484 |
|
19 |
16 |
$9K |