| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
53,796 |
2,984 |
$10.30M |
| H0004 |
Alcohol and/or drug services |
83,537 |
44,497 |
$9.17M |
| H0040 |
Assert comm tx pgm per diem |
87,960 |
3,233 |
$7.69M |
| H0036 |
Comm psy face-face per 15min |
7,554 |
1,580 |
$3.68M |
| H0031 |
Mh health assess by non-md |
11,004 |
10,267 |
$1.82M |
| 99214 |
|
20,040 |
16,120 |
$1.42M |
| 99213 |
|
27,880 |
24,073 |
$1.35M |
| H2015 |
Comp comm supp svc, 15 min |
23,064 |
2,250 |
$1.20M |
| T1040 |
Comm bh clinic svc per diem |
3,775 |
2,564 |
$992K |
| H0032 |
Mh svc plan dev by non-md |
8,823 |
4,722 |
$693K |
| H0038 |
Self-help/peer svc per 15min |
7,832 |
2,401 |
$667K |
| H0037 |
Comm psy sup tx pgm per diem |
1,113 |
248 |
$608K |
| 90792 |
|
4,195 |
4,028 |
$494K |
| Q3014 |
Telehealth facility fee |
18,530 |
15,483 |
$466K |
| 99212 |
|
10,997 |
6,705 |
$350K |
| T1017 |
Targeted case management |
13,444 |
7,661 |
$329K |
| H0018 |
Alcohol and/or drug services |
1,601 |
135 |
$235K |
| A0120 |
Noner transport mini-bus |
17,827 |
2,440 |
$188K |
| 80305 |
|
16,954 |
11,010 |
$185K |
| S0281 |
Medical home, maintenance |
3,678 |
3,658 |
$179K |
| 99215 |
Prolong outpt/office vis |
1,813 |
1,537 |
$177K |
| 90837 |
|
6,275 |
4,425 |
$168K |
| H0015 |
Alcohol and/or drug services |
584 |
105 |
$73K |
| 96372 |
|
4,484 |
3,589 |
$35K |
| 81025 |
|
3,707 |
2,807 |
$28K |
| 90834 |
|
1,450 |
1,236 |
$26K |
| 90791 |
|
536 |
499 |
$25K |
| 99203 |
|
375 |
365 |
$24K |
| A0160 |
Noner transport case worker |
386 |
68 |
$12K |
| 90832 |
|
487 |
394 |
$9K |
| H2011 |
Crisis interven svc, 15 min |
25 |
23 |
$3K |
| 90853 |
|
118 |
67 |
$387.90 |
| 99211 |
|
14 |
14 |
$150.32 |