| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
407,756 |
175,662 |
$74.62M |
| H2017 |
Psysoc rehab svc, per 15 min |
252,755 |
107,847 |
$48.08M |
| H2010 |
Comprehensive med svc 15 min |
160,191 |
52,965 |
$23.45M |
| T1017 |
Targeted case management |
171,182 |
78,899 |
$20.19M |
| H0020 |
Alcohol and/or drug services |
1,327,136 |
49,397 |
$19.77M |
| 90837 |
|
23,918 |
17,182 |
$11.82M |
| H0019 |
Alcohol and/or drug services |
80,764 |
4,598 |
$11.41M |
| H0004 |
Alcohol and/or drug services |
94,005 |
53,303 |
$9.95M |
| 99233 |
Prolong inpt eval add15 m |
6,340 |
826 |
$8.91M |
| H0032 |
Mh svc plan dev by non-md |
34,645 |
33,895 |
$7.50M |
| 90834 |
|
14,836 |
11,873 |
$5.40M |
| G2212 |
Prolong outpt/office vis |
10,973 |
8,634 |
$5.40M |
| H2011 |
Crisis interven svc, 15 min |
7,449 |
6,082 |
$3.35M |
| 99214 |
|
9,210 |
8,791 |
$3.03M |
| 99215 |
Prolong outpt/office vis |
3,098 |
2,857 |
$2.48M |
| 90847 |
|
5,069 |
4,326 |
$2.17M |
| H0034 |
Med trng & support per 15min |
11,323 |
7,777 |
$2.06M |
| H0018 |
Alcohol and/or drug services |
2,528 |
207 |
$1.62M |
| 90832 |
|
6,477 |
5,240 |
$1.59M |
| H0005 |
Alcohol and/or drug services |
21,687 |
6,256 |
$1.37M |
| 99223 |
Prolong inpt eval add15 m |
617 |
597 |
$1.24M |
| T2024 |
Serv asmnt/care plan waiver |
768 |
760 |
$990K |
| H0006 |
Alcohol and/or drug services |
11,420 |
6,763 |
$936K |
| 99239 |
|
636 |
619 |
$929K |
| 99213 |
|
22,913 |
20,494 |
$862K |
| H2019 |
Ther behav svc, per 15 min |
1,845 |
263 |
$804K |
| 90791 |
|
5,256 |
4,927 |
$698K |
| G0397 |
Alcohol/subs interv >30 min |
1,489 |
1,446 |
$510K |
| T1001 |
Nursing assessment/evaluatn |
3,131 |
2,493 |
$408K |
| 99232 |
|
1,387 |
511 |
$383K |
| T2021 |
Day habil waiver per 15 min |
1,189 |
631 |
$370K |
| 96372 |
|
1,893 |
1,736 |
$320K |
| 90792 |
|
545 |
542 |
$266K |
| H0038 |
Self-help/peer svc per 15min |
612 |
151 |
$233K |
| 99205 |
Prolong outpt/office vis |
100 |
99 |
$165K |
| H0033 |
Oral med adm direct observe |
769 |
728 |
$102K |
| 99212 |
|
6,326 |
5,911 |
$66K |
| T1007 |
Treatment plan development |
518 |
495 |
$55K |
| 90853 |
|
1,894 |
744 |
$53K |
| 99222 |
|
28 |
28 |
$45K |
| H0012 |
Alcohol and/or drug services |
261 |
71 |
$35K |
| 99443 |
|
46 |
45 |
$26K |
| H0031 |
Mh health assess by non-md |
57 |
46 |
$17K |
| 96127 |
|
210 |
207 |
$15K |
| 96110 |
|
758 |
755 |
$11K |
| H0025 |
Alcohol and/or drug preventi |
44 |
13 |
$4K |
| 90785 |
|
223 |
215 |
$2K |
| G0467 |
Fqhc visit, estab pt |
1,972 |
1,795 |
$2K |
| 99243 |
|
37 |
37 |
$1K |
| 59425 |
|
1,344 |
751 |
$530.68 |
| 99396 |
|
261 |
261 |
$518.00 |
| 99391 |
|
445 |
443 |
$502.72 |
| 90471 |
|
1,782 |
1,752 |
$489.52 |
| 83036 |
|
2,187 |
2,183 |
$462.89 |
| 99395 |
|
164 |
164 |
$309.00 |
| 99242 |
|
26 |
26 |
$285.20 |
| 99211 |
|
155 |
153 |
$282.92 |
| 90671 |
|
234 |
233 |
$207.45 |
| 81003 |
|
3,477 |
2,746 |
$162.14 |
| 82962 |
|
2,737 |
2,692 |
$157.46 |
| 87880 |
|
326 |
320 |
$122.31 |
| 99392 |
|
790 |
789 |
$117.87 |
| 85018 |
|
3,146 |
3,140 |
$83.48 |
| 90680 |
|
193 |
192 |
$75.60 |
| 90670 |
|
219 |
219 |
$75.60 |
| 99393 |
|
1,019 |
1,019 |
$61.26 |
| 90744 |
|
73 |
73 |
$56.70 |
| 90698 |
|
139 |
139 |
$56.70 |
| 90686 |
|
1,527 |
1,526 |
$56.35 |
| 90633 |
|
208 |
208 |
$28.35 |
| 99000 |
|
547 |
513 |
$27.35 |
| 90621 |
|
45 |
45 |
$22.00 |
| 81025 |
|
111 |
109 |
$20.82 |
| 90651 |
|
309 |
309 |
$18.90 |
| 96156 |
|
54 |
54 |
$17.66 |
| 90697 |
|
160 |
159 |
$9.45 |
| 90619 |
|
273 |
273 |
$9.45 |
| 90715 |
|
213 |
213 |
$9.45 |
| 86580 |
|
148 |
147 |
$6.86 |
| J1885 |
Ketorolac tromethamine inj |
47 |
43 |
$0.33 |
| 3075F |
|
2,002 |
1,934 |
$0.00 |
| 92551 |
|
2,140 |
2,138 |
$0.00 |
| 3044F |
|
521 |
518 |
$0.00 |
| 1126F |
|
19,331 |
16,802 |
$0.00 |
| 3074F |
|
18,950 |
16,465 |
$0.00 |
| 90673 |
|
21 |
21 |
$0.00 |
| 3080F |
|
241 |
232 |
$0.00 |
| 3008F |
|
24,368 |
20,610 |
$0.00 |
| 3079F |
|
2,923 |
2,773 |
$0.00 |
| 1125F |
|
6,504 |
5,878 |
$0.00 |
| 90688 |
|
36 |
36 |
$0.00 |
| 4010F |
|
42 |
38 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| 3052F |
|
43 |
42 |
$0.00 |
| 99173 |
|
2,076 |
2,076 |
$0.00 |
| 3078F |
|
19,128 |
16,739 |
$0.00 |
| 3725F |
|
19,750 |
16,694 |
$0.00 |
| 90734 |
|
61 |
61 |
$0.00 |
| 3046F |
|
49 |
48 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
43 |
43 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
76 |
76 |
$0.00 |
| 3077F |
|
1,795 |
1,700 |
$0.00 |
| 90750 |
|
44 |
44 |
$0.00 |
| 3051F |
|
125 |
125 |
$0.00 |
| 1160F |
|
2,907 |
2,675 |
$0.00 |
| 99394 |
|
746 |
746 |
$0.00 |
| 90710 |
|
110 |
110 |
$0.00 |
| 1159F |
|
168 |
154 |
$0.00 |
| 0502F |
|
308 |
184 |
$0.00 |
| 90472 |
|
14 |
14 |
$0.00 |
| 81002 |
|
30 |
30 |
$0.00 |
| 99401 |
|
24 |
24 |
$0.00 |
| G9920 |
Scrning perf and negative |
22 |
21 |
$0.00 |
| 87804 |
|
29 |
29 |
$0.00 |
| 99204 |
|
13 |
13 |
$0.00 |
| 99203 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |