| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care ser per diem |
1,084 |
175 |
$1.21M |
| H2014 |
Skills train and dev, 15 min |
15,135 |
2,142 |
$754K |
| H2013 |
Psych hlth fac svc, per diem |
123 |
82 |
$727K |
| H2032 |
Activity therapy, per 15 min |
10,522 |
664 |
$249K |
| Q9992 |
Buprenorphine xr over 100 mg |
42 |
40 |
$123K |
| H0039 |
Asser com tx face-face/15min |
4,864 |
1,877 |
$117K |
| 90837 |
|
10,873 |
7,619 |
$111K |
| H0004 |
Alcohol and/or drug services |
7,545 |
4,645 |
$108K |
| H0005 |
Alcohol and/or drug services |
12,364 |
4,486 |
$102K |
| H0038 |
Self-help/peer svc per 15min |
16,801 |
6,276 |
$94K |
| 99214 |
|
9,875 |
8,689 |
$46K |
| 90832 |
|
5,941 |
4,336 |
$46K |
| 90834 |
|
6,344 |
5,320 |
$45K |
| H0032 |
Mh svc plan dev by non-md |
3,795 |
3,689 |
$29K |
| 99213 |
|
5,225 |
4,524 |
$26K |
| 90853 |
|
685 |
247 |
$23K |
| T1016 |
Case management |
3,247 |
1,611 |
$15K |
| H0048 |
Spec coll non-blood:a/d test |
7,888 |
4,321 |
$10K |
| H0001 |
Alcohol and/or drug assess |
393 |
371 |
$8K |
| 90791 |
|
1,048 |
1,029 |
$6K |
| 90792 |
|
449 |
434 |
$5K |
| 99212 |
|
2,385 |
2,016 |
$5K |
| H2011 |
Crisis interven svc, 15 min |
914 |
711 |
$4K |
| 90833 |
|
1,572 |
1,428 |
$4K |
| H2023 |
Supported employ, per 15 min |
1,010 |
384 |
$4K |
| 98968 |
|
126 |
70 |
$2K |
| 96372 |
|
145 |
123 |
$1K |
| H2000 |
Comp multidisipln evaluation |
16 |
16 |
$1K |
| 90847 |
|
181 |
142 |
$888.83 |
| 99443 |
|
344 |
300 |
$637.48 |
| H2021 |
Com wrap-around sv, 15 min |
72 |
27 |
$262.89 |
| 99215 |
Prolong outpt/office vis |
104 |
104 |
$234.54 |
| T1023 |
Program intake assessment |
42 |
42 |
$212.22 |
| 99442 |
|
25 |
25 |
$177.84 |
| H0006 |
Alcohol and/or drug services |
49 |
28 |
$22.56 |