| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
42,548 |
3,517 |
$2.29M |
| T1015 |
Clinic service |
21,057 |
16,725 |
$1.11M |
| H0040 |
Assert comm tx pgm per diem |
51,346 |
1,551 |
$1.06M |
| T1017 |
Targeted case management |
19,729 |
7,675 |
$900K |
| H2019 |
Ther behav svc, per 15 min |
6,882 |
3,196 |
$485K |
| 99222 |
|
2,899 |
2,504 |
$329K |
| 99238 |
|
3,176 |
2,763 |
$113K |
| 99214 |
|
4,562 |
3,704 |
$111K |
| 99231 |
|
5,312 |
2,198 |
$103K |
| H0032 |
Mh svc plan dev by non-md |
1,480 |
1,392 |
$92K |
| H2000 |
Comp multidisipln evaluation |
330 |
311 |
$57K |
| H0031 |
Mh health assess by non-md |
996 |
894 |
$46K |
| 99232 |
|
1,257 |
707 |
$45K |
| 99223 |
Prolong inpt eval add15 m |
127 |
119 |
$23K |
| 99213 |
|
5,633 |
4,489 |
$16K |
| 90791 |
|
166 |
157 |
$13K |
| H0038 |
Self-help/peer svc per 15min |
139 |
65 |
$3K |
| 99211 |
|
2,050 |
1,455 |
$3K |
| 99221 |
|
22 |
13 |
$1K |
| 1126F |
|
1,629 |
1,308 |
$909.39 |
| 99233 |
Prolong inpt eval add15 m |
26 |
19 |
$576.69 |
| G0459 |
Telehealth inpt pharm mgmt |
658 |
589 |
$493.04 |
| 1125F |
|
459 |
408 |
$477.26 |
| 82947 |
|
19 |
12 |
$22.70 |
| 36415 |
|
55 |
44 |
$11.90 |
| 1159F |
|
1,386 |
1,241 |
$0.00 |
| 1160F |
|
615 |
576 |
$0.00 |
| 99396 |
|
14 |
13 |
$0.00 |
| 99401 |
|
13 |
12 |
$0.00 |
| G0444 |
Depression screen annual |
37 |
36 |
$0.00 |
| 90756 |
|
20 |
15 |
$0.00 |
| 99407 |
|
320 |
287 |
$0.00 |
| 81005 |
|
33 |
26 |
$0.00 |
| 90688 |
|
13 |
12 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
13 |
13 |
$0.00 |