| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9480 |
Intensive outpatient psychia |
13,840 |
2,595 |
$11.13M |
| H0015 |
Alcohol and/or drug services |
14,119 |
5,148 |
$2.45M |
| 99214 |
|
20,214 |
11,292 |
$1.77M |
| H0004 |
Alcohol and/or drug services |
16,792 |
7,857 |
$1.39M |
| 90833 |
|
16,856 |
9,235 |
$1.25M |
| 90837 |
|
5,594 |
2,997 |
$982K |
| H0031 |
Mh health assess by non-md |
5,211 |
4,658 |
$899K |
| T1016 |
Case management |
30,013 |
15,563 |
$516K |
| 80307 |
|
7,048 |
3,658 |
$441K |
| 90792 |
|
1,383 |
1,304 |
$327K |
| H2027 |
Psychoed svc, per 15 min |
776 |
444 |
$230K |
| H2016 |
Comp comm supp svc, per diem |
741 |
560 |
$206K |
| 90853 |
|
1,212 |
214 |
$153K |
| H2014 |
Skills train and dev, 15 min |
440 |
267 |
$125K |
| H2025 |
Supp maint employ, 15 min |
167 |
144 |
$51K |
| H2026 |
Supp maint employ, per diem |
239 |
149 |
$49K |
| 99215 |
Prolong outpt/office vis |
467 |
276 |
$49K |
| 90838 |
|
270 |
146 |
$31K |
| 90836 |
|
326 |
218 |
$29K |
| 99350 |
Prolong home eval add 15m |
155 |
86 |
$23K |
| H0038 |
Self-help/peer svc per 15min |
110 |
76 |
$20K |
| 90847 |
|
122 |
105 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
100 |
52 |
$14K |
| 99205 |
Prolong outpt/office vis |
101 |
86 |
$12K |
| 99239 |
|
44 |
44 |
$6K |
| H0034 |
Med trng & support per 15min |
326 |
165 |
$4K |
| 80306 |
|
163 |
110 |
$3K |
| 99345 |
Prolong home eval add 15m |
13 |
13 |
$3K |
| 99213 |
|
46 |
35 |
$2K |
| 80305 |
|
1,104 |
666 |
$2K |
| 90846 |
|
13 |
12 |
$1K |
| 36415 |
|
41 |
35 |
$173.93 |
| 90785 |
|
24 |
14 |
$15.44 |