| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
10,139 |
10,139 |
$8.11M |
| 99213 |
|
9,106 |
8,860 |
$413K |
| H0046 |
Mental health service, nos |
330 |
330 |
$267K |
| T1017 |
Targeted case management |
14,348 |
9,409 |
$253K |
| H0034 |
Med trng & support per 15min |
7,422 |
5,479 |
$225K |
| 99214 |
|
2,625 |
2,611 |
$174K |
| 99232 |
|
2,303 |
724 |
$142K |
| S9485 |
Crisis intervention mental h |
461 |
433 |
$95K |
| 99223 |
Prolong inpt eval add15 m |
544 |
531 |
$89K |
| H0032 |
Mh svc plan dev by non-md |
2,532 |
2,531 |
$82K |
| G9009 |
Mccd, risk adj, level 3 |
192 |
191 |
$57K |
| G9002 |
Mccd,maintenance rate |
414 |
414 |
$52K |
| H2011 |
Crisis interven svc, 15 min |
600 |
573 |
$47K |
| 99238 |
|
528 |
514 |
$33K |
| H2015 |
Comp comm supp svc, 15 min |
2,596 |
2,047 |
$26K |
| H0004 |
Alcohol and/or drug services |
454 |
190 |
$25K |
| 99215 |
Prolong outpt/office vis |
189 |
159 |
$24K |
| T1027 |
Family training & counseling |
730 |
439 |
$12K |
| 99203 |
|
72 |
72 |
$6K |
| 99204 |
|
43 |
43 |
$6K |
| 99231 |
|
201 |
88 |
$6K |
| 99212 |
|
49 |
49 |
$2K |
| H0031 |
Mh health assess by non-md |
113 |
113 |
$1K |
| H0002 |
Alcohol and/or drug screenin |
42 |
42 |
$1K |
| G9001 |
Mccd, initial rate |
13 |
13 |
$677.74 |
| T1023 |
Program intake assessment |
903 |
898 |
$0.00 |
| T1016 |
Case management |
334 |
237 |
$0.00 |
| S5190 |
Wellness assessment by nonph |
17 |
15 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
26 |
25 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
641 |
433 |
$0.00 |