| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Ther behav svc, per 15 min |
33,508 |
12,433 |
$3.27M |
| H2020 |
Ther behav svc, per diem |
24,961 |
2,832 |
$2.48M |
| H0036 |
Comm psy face-face per 15min |
40,813 |
13,360 |
$2.22M |
| T2022 |
Case management, per month |
5,026 |
4,819 |
$2.10M |
| T2023 |
Targeted case mgmt per month |
1,435 |
1,319 |
$1.10M |
| 99214 |
|
5,144 |
4,373 |
$571K |
| H2012 |
Behav hlth day treat, per hr |
11,220 |
3,159 |
$322K |
| H2000 |
Comp multidisipln evaluation |
1,713 |
1,369 |
$308K |
| 90837 |
|
2,146 |
856 |
$193K |
| 90791 |
|
606 |
547 |
$60K |
| H2017 |
Psysoc rehab svc, per 15 min |
2,127 |
1,498 |
$50K |
| 90832 |
|
894 |
380 |
$45K |
| 99215 |
Prolong outpt/office vis |
257 |
230 |
$39K |
| 90834 |
|
435 |
220 |
$29K |
| 99213 |
|
201 |
188 |
$15K |
| 90847 |
|
208 |
107 |
$14K |
| H2015 |
Comp comm supp svc, 15 min |
55 |
12 |
$11K |
| 99211 |
|
684 |
379 |
$5K |
| 99203 |
|
12 |
12 |
$1K |
| 99212 |
|
14 |
12 |
$685.58 |
| G9002 |
Mccd,maintenance rate |
3,388 |
2,528 |
$0.00 |
| G9006 |
Mccd, home monitoring |
24,849 |
6,648 |
$0.00 |
| G9007 |
Mccd, sch team conf |
155 |
81 |
$0.00 |
| G9005 |
Mccd, risk adj, maintenance |
13 |
13 |
$0.00 |
| G9009 |
Mccd, risk adj, level 3 |
37 |
37 |
$0.00 |