| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
480,853 |
227,647 |
$131.28M |
| H2017 |
Psysoc rehab svc, per 15 min |
398,988 |
226,167 |
$100.85M |
| H0004 |
Alcohol and/or drug services |
328,341 |
112,932 |
$38.79M |
| H0020 |
Alcohol and/or drug services |
2,338,012 |
91,286 |
$35.10M |
| H2010 |
Comprehensive med svc 15 min |
95,509 |
85,493 |
$32.59M |
| T1017 |
Targeted case management |
149,822 |
89,718 |
$23.01M |
| H2013 |
Psych hlth fac svc, per diem |
7,285 |
2,644 |
$22.83M |
| 90837 |
|
50,042 |
31,886 |
$14.55M |
| H0019 |
Alcohol and/or drug services |
67,276 |
4,631 |
$11.74M |
| H0005 |
Alcohol and/or drug services |
132,152 |
24,724 |
$10.58M |
| H0018 |
Alcohol and/or drug services |
5,973 |
1,935 |
$9.52M |
| H0032 |
Mh svc plan dev by non-md |
31,707 |
25,373 |
$6.81M |
| H0034 |
Med trng & support per 15min |
34,355 |
26,572 |
$6.42M |
| G2212 |
Prolong outpt/office vis |
25,826 |
19,608 |
$6.03M |
| 90792 |
|
19,820 |
17,048 |
$3.88M |
| H2019 |
Ther behav svc, per 15 min |
9,870 |
2,254 |
$2.65M |
| 90834 |
|
10,975 |
9,118 |
$2.44M |
| 90847 |
|
7,662 |
5,966 |
$1.85M |
| 99214 |
|
3,307 |
3,176 |
$1.55M |
| H0031 |
Mh health assess by non-md |
3,189 |
2,751 |
$1.55M |
| S9484 |
Crisis intervention per hour |
595 |
514 |
$1.51M |
| T2024 |
Serv asmnt/care plan waiver |
1,914 |
1,893 |
$1.22M |
| T2021 |
Day habil waiver per 15 min |
3,102 |
2,512 |
$1.14M |
| S5000 |
Prescription drug, generic |
35,173 |
1,621 |
$1.07M |
| 90832 |
|
6,171 |
5,253 |
$910K |
| S5001 |
Prescription drug,brand name |
7,315 |
3,964 |
$613K |
| G0397 |
Alcohol/subs interv >30 min |
1,485 |
1,450 |
$399K |
| 99213 |
|
1,122 |
1,082 |
$371K |
| H0014 |
Alcohol and/or drug services |
1,977 |
1,096 |
$336K |
| 90791 |
|
3,088 |
2,473 |
$223K |
| H2000 |
Comp multidisipln evaluation |
1,335 |
1,190 |
$221K |
| 99607 |
|
1,038 |
888 |
$187K |
| H0015 |
Alcohol and/or drug services |
1,548 |
241 |
$174K |
| H0001 |
Alcohol and/or drug assess |
335 |
318 |
$140K |
| H0038 |
Self-help/peer svc per 15min |
648 |
249 |
$138K |
| 96372 |
|
1,125 |
967 |
$132K |
| 99606 |
|
797 |
683 |
$106K |
| H0033 |
Oral med adm direct observe |
1,057 |
890 |
$87K |
| 99212 |
|
462 |
453 |
$73K |
| H0006 |
Alcohol and/or drug services |
535 |
307 |
$60K |
| 99215 |
Prolong outpt/office vis |
181 |
169 |
$47K |
| 99366 |
|
139 |
127 |
$45K |
| H0050 |
Alcohol/drug service 15 min |
826 |
179 |
$44K |
| H0049 |
Alcohol/drug screening |
3,779 |
3,720 |
$40K |
| 99368 |
|
84 |
64 |
$27K |
| 99605 |
|
150 |
133 |
$19K |
| 87591 |
|
548 |
545 |
$13K |
| 87491 |
|
548 |
545 |
$12K |
| 87389 |
|
500 |
495 |
$11K |
| 86780 |
|
510 |
499 |
$11K |
| H2011 |
Crisis interven svc, 15 min |
43 |
38 |
$7K |
| H0025 |
Alcohol and/or drug preventi |
74 |
18 |
$6K |
| 99211 |
|
449 |
426 |
$6K |
| 86480 |
|
65 |
65 |
$3K |
| 90853 |
|
144 |
42 |
$3K |
| 90686 |
|
60 |
60 |
$1K |
| 90715 |
|
109 |
109 |
$1K |
| 90651 |
|
102 |
102 |
$773.86 |
| 90734 |
|
91 |
91 |
$756.00 |
| Q0144 |
Azithromycin dihydrate, oral |
58 |
58 |
$614.64 |
| 90713 |
|
13 |
13 |
$587.62 |
| 90688 |
|
47 |
47 |
$473.86 |
| 90633 |
|
32 |
32 |
$456.54 |
| J0696 |
Ceftriaxone sodium injection |
40 |
40 |
$375.94 |
| 90723 |
|
16 |
16 |
$260.18 |
| Q0111 |
Wet mounts/ w preparations |
45 |
36 |
$186.83 |
| 90707 |
|
22 |
22 |
$178.00 |
| 90710 |
|
29 |
29 |
$147.27 |
| 90716 |
|
18 |
18 |
$139.09 |
| 90696 |
|
17 |
17 |
$138.27 |
| 90648 |
|
15 |
15 |
$36.00 |
| 90670 |
|
13 |
13 |
$27.00 |