| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assert comm tx pgm per diem |
9,736 |
9,697 |
$19.20M |
| 90834 |
|
110,392 |
53,000 |
$15.33M |
| 90832 |
|
101,493 |
53,215 |
$10.64M |
| 99213 |
|
39,988 |
36,804 |
$4.46M |
| H0004 |
Alcohol and/or drug services |
33,142 |
6,151 |
$4.16M |
| H2019 |
Ther behav svc, per 15 min |
3,843 |
3,820 |
$3.29M |
| 90853 |
|
58,834 |
17,843 |
$3.26M |
| 90791 |
|
11,788 |
9,990 |
$2.26M |
| H2011 |
Crisis interven svc, 15 min |
7,860 |
6,919 |
$1.48M |
| 90792 |
|
5,372 |
5,327 |
$1.06M |
| 99214 |
|
9,424 |
8,741 |
$1.02M |
| T1015 |
Clinic service |
2,686 |
2,671 |
$800K |
| 99051 |
|
57,374 |
28,245 |
$747K |
| 99212 |
|
6,336 |
5,778 |
$733K |
| H2017 |
Psysoc rehab svc, per 15 min |
8,803 |
1,778 |
$732K |
| H0036 |
Comm psy face-face per 15min |
6,370 |
1,346 |
$681K |
| H2018 |
Psysoc rehab svc, per diem |
988 |
987 |
$506K |
| H2016 |
Comp comm supp svc, per diem |
527 |
526 |
$453K |
| H0038 |
Self-help/peer svc per 15min |
6,245 |
2,177 |
$422K |
| H0001 |
Alcohol and/or drug assess |
1,765 |
1,410 |
$275K |
| 99401 |
|
5,828 |
5,584 |
$256K |
| S9480 |
Intensive outpatient psychia |
2,270 |
487 |
$242K |
| G0397 |
Alcohol/subs interv >30 min |
949 |
604 |
$152K |
| S9484 |
Crisis intervention per hour |
348 |
344 |
$137K |
| H0005 |
Alcohol and/or drug services |
2,016 |
714 |
$125K |
| 90846 |
|
1,109 |
975 |
$116K |
| H0015 |
Alcohol and/or drug services |
1,044 |
204 |
$104K |
| 90847 |
|
479 |
311 |
$95K |
| S9485 |
Crisis intervention mental h |
79 |
76 |
$81K |
| 90837 |
|
463 |
383 |
$64K |
| 99215 |
Prolong outpt/office vis |
426 |
410 |
$54K |
| G0396 |
Alcohol/subs interv 15-30mn |
372 |
275 |
$44K |
| T2022 |
Case management, per month |
134 |
132 |
$37K |
| 90838 |
|
349 |
343 |
$34K |
| H0002 |
Alcohol and/or drug screenin |
165 |
139 |
$33K |
| 99402 |
|
540 |
526 |
$29K |
| 96372 |
|
1,366 |
1,209 |
$17K |
| 90839 |
|
192 |
169 |
$14K |
| H2010 |
Comprehensive med svc 15 min |
55 |
51 |
$4K |
| 99211 |
|
110 |
96 |
$2K |
| Q3014 |
Telehealth facility fee |
987 |
900 |
$2K |
| H0049 |
Alcohol/drug screening |
31 |
30 |
$1K |
| G2012 |
Brief check in by md/qhp |
68 |
50 |
$576.35 |
| 99080 |
|
382 |
105 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
60 |
53 |
$0.00 |