| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
23,426 |
16,115 |
$2.23M |
| H2018 |
Psysoc rehab svc, per diem |
1,180 |
590 |
$2.13M |
| H0020 |
Alcohol and/or drug services |
215,976 |
8,685 |
$2.00M |
| 90837 |
|
15,759 |
10,519 |
$1.35M |
| H0005 |
Alcohol and/or drug services |
13,201 |
6,217 |
$727K |
| 90847 |
|
11,944 |
7,938 |
$712K |
| 99214 |
|
14,303 |
12,396 |
$487K |
| 90834 |
|
5,954 |
4,231 |
$435K |
| T1016 |
Case management |
34,203 |
24,164 |
$196K |
| 90839 |
|
1,478 |
1,355 |
$158K |
| H0048 |
Spec coll non-blood:a/d test |
10,805 |
9,684 |
$146K |
| H2014 |
Skills train and dev, 15 min |
19,593 |
7,629 |
$144K |
| H0038 |
Self-help/peer svc per 15min |
16,877 |
7,056 |
$120K |
| 99443 |
|
4,206 |
3,501 |
$109K |
| H0039 |
Asser com tx face-face/15min |
12,757 |
6,438 |
$105K |
| H2000 |
Comp multidisipln evaluation |
857 |
847 |
$102K |
| 99213 |
|
4,099 |
3,472 |
$90K |
| H0032 |
Mh svc plan dev by non-md |
1,128 |
1,101 |
$86K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
9,109 |
366 |
$80K |
| H2021 |
Com wrap-around sv, 15 min |
10,702 |
4,785 |
$73K |
| 99442 |
|
3,875 |
3,223 |
$66K |
| H0031 |
Mh health assess by non-md |
2,760 |
2,495 |
$65K |
| H2010 |
Comprehensive med svc 15 min |
26,255 |
22,869 |
$56K |
| 90846 |
|
393 |
252 |
$51K |
| 90792 |
|
414 |
397 |
$51K |
| H2023 |
Supported employ, per 15 min |
6,853 |
2,294 |
$38K |
| H0016 |
Alcohol and/or drug services |
463 |
456 |
$38K |
| 90832 |
|
998 |
707 |
$36K |
| J0572 |
Bupren/nal up to 3mg bupreno |
4,598 |
217 |
$24K |
| 99215 |
Prolong outpt/office vis |
535 |
476 |
$23K |
| H0006 |
Alcohol and/or drug services |
592 |
402 |
$17K |
| H0033 |
Oral med adm direct observe |
1,577 |
443 |
$13K |
| H0002 |
Alcohol and/or drug screenin |
277 |
277 |
$11K |
| 90633 |
|
543 |
542 |
$11K |
| T1023 |
Program intake assessment |
345 |
341 |
$9K |
| 90887 |
|
136 |
109 |
$7K |
| T1502 |
Medication admin visit |
1,304 |
410 |
$6K |
| 90715 |
|
272 |
270 |
$5K |
| 90716 |
|
152 |
152 |
$4K |
| 90853 |
|
314 |
134 |
$4K |
| H2011 |
Crisis interven svc, 15 min |
965 |
884 |
$4K |
| 90849 |
|
60 |
25 |
$3K |
| H0001 |
Alcohol and/or drug assess |
13 |
13 |
$3K |
| 90713 |
|
127 |
127 |
$3K |
| 90710 |
|
119 |
119 |
$2K |
| 90840 |
|
25 |
25 |
$2K |
| 90707 |
|
53 |
53 |
$1K |
| 36415 |
|
360 |
333 |
$1K |
| 90744 |
|
51 |
51 |
$1K |
| 90686 |
|
46 |
46 |
$712.98 |
| 90651 |
|
13 |
13 |
$394.56 |
| 90791 |
|
27 |
26 |
$286.29 |
| 99401 |
|
14 |
14 |
$276.43 |
| H0034 |
Med trng & support per 15min |
165 |
52 |
$202.56 |
| 99441 |
|
16 |
12 |
$130.47 |
| H2024 |
Supported employ, per diem |
1,040 |
1,034 |
$0.00 |
| H2022 |
Com wrap-around sv, per diem |
350 |
315 |
$0.00 |
| H0040 |
Assert comm tx pgm per diem |
1,238 |
1,234 |
$0.00 |
| T1024 |
Team evaluation & management |
537 |
534 |
$0.00 |
| T2022 |
Case management, per month |
3,719 |
3,687 |
$0.00 |