| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| W0500 |
|
143,706 |
141,213 |
$68.38M |
| T1040 |
Comm bh clinic svc per diem |
514 |
239 |
$76K |
| 90832 |
|
43,691 |
27,227 |
$20K |
| 90834 |
|
108,970 |
54,995 |
$13K |
| 90837 |
|
3,824 |
3,350 |
$0.00 |
| H2011 |
Crisis interven svc, 15 min |
2,497 |
1,933 |
$0.00 |
| H0034 |
Med trng & support per 15min |
8,206 |
7,465 |
$0.00 |
| 90853 |
|
43,208 |
13,341 |
$0.00 |
| H0036 |
Comm psy face-face per 15min |
11,847 |
1,575 |
$0.00 |
| H0015 |
Alcohol and/or drug services |
7,803 |
1,497 |
$0.00 |
| T1017 |
Targeted case management |
33,807 |
10,625 |
$0.00 |
| 99201 |
|
75 |
58 |
$0.00 |
| 99211 |
|
56,385 |
48,754 |
$0.00 |
| H2010 |
Comprehensive med svc 15 min |
35 |
32 |
$0.00 |
| 99203 |
|
52 |
52 |
$0.00 |
| 99212 |
|
243 |
238 |
$0.00 |
| 90846 |
|
44 |
39 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
53 |
53 |
$0.00 |
| 99213 |
|
7,741 |
7,502 |
$0.00 |
| 99214 |
|
10,757 |
10,201 |
$0.00 |
| 90792 |
|
3,612 |
3,533 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
3,214 |
1,611 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
253 |
253 |
$0.00 |
| 99202 |
|
28 |
28 |
$0.00 |
| 90847 |
|
535 |
378 |
$0.00 |
| H2030 |
Mh clubhouse svc, per 15 min |
124 |
12 |
$0.00 |