| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
70,318 |
21,969 |
$6.55M |
| 99309 |
|
68,775 |
43,912 |
$992K |
| H0031 |
Mh health assess by non-md |
6,347 |
5,429 |
$929K |
| 99308 |
|
38,333 |
24,272 |
$921K |
| 99214 |
|
4,997 |
4,499 |
$322K |
| 90837 |
|
4,504 |
1,768 |
$281K |
| 99358 |
Prolong nursin fac eval 15m |
11,461 |
11,024 |
$221K |
| 99484 |
|
24,651 |
22,369 |
$180K |
| 99451 |
|
26,724 |
24,616 |
$176K |
| 90792 |
|
4,689 |
4,181 |
$161K |
| 99310 |
Prolong nursin fac eval 15m |
10,461 |
8,245 |
$130K |
| H0002 |
Alcohol and/or drug screenin |
4,569 |
4,255 |
$127K |
| 99452 |
|
16,930 |
15,442 |
$89K |
| 99213 |
|
2,069 |
1,802 |
$75K |
| 99215 |
Prolong outpt/office vis |
792 |
699 |
$54K |
| 90833 |
|
922 |
724 |
$28K |
| 99305 |
|
710 |
648 |
$28K |
| 99483 |
Prolong outpt/office vis |
648 |
562 |
$27K |
| G0317 |
Prolong nursin fac eval 15m |
3,294 |
2,844 |
$21K |
| 99424 |
|
572 |
562 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
181 |
112 |
$14K |
| 99306 |
Prolong nursin fac eval 15m |
352 |
333 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
558 |
137 |
$13K |
| 99204 |
|
189 |
179 |
$12K |
| 99232 |
|
300 |
75 |
$9K |
| 96132 |
|
287 |
260 |
$7K |
| 99231 |
|
326 |
87 |
$6K |
| 99205 |
Prolong outpt/office vis |
29 |
29 |
$4K |
| Q3014 |
Telehealth facility fee |
909 |
608 |
$4K |
| 90791 |
|
82 |
76 |
$2K |
| 96133 |
|
59 |
55 |
$2K |
| 99243 |
|
18 |
17 |
$2K |
| 99285 |
|
18 |
13 |
$2K |
| 90834 |
|
134 |
73 |
$2K |
| 96138 |
|
212 |
194 |
$2K |
| 99443 |
|
88 |
88 |
$1K |
| 96116 |
|
76 |
67 |
$1K |
| 99222 |
|
12 |
12 |
$767.12 |
| 96127 |
|
188 |
148 |
$599.00 |
| 96121 |
|
58 |
54 |
$581.75 |
| 99307 |
|
24 |
21 |
$279.98 |
| 96136 |
|
63 |
55 |
$233.52 |
| 90832 |
|
19 |
12 |
$193.60 |
| 96137 |
|
58 |
54 |
$171.00 |
| G0323 |
Care manage beh svs 20mins |
2,286 |
1,250 |
$32.58 |