| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2025 |
Waiver service, nos |
27,681 |
5,659 |
$2.90M |
| H0004 |
Alcohol and/or drug services |
35,895 |
19,819 |
$2.56M |
| H2015 |
Comp comm supp svc, 15 min |
62,490 |
28,122 |
$1.80M |
| 90837 |
|
22,344 |
13,367 |
$1.74M |
| H2023 |
Supported employ, per 15 min |
8,502 |
3,127 |
$1.04M |
| 99214 |
|
14,216 |
12,071 |
$1.02M |
| H2013 |
Psych hlth fac svc, per diem |
893 |
67 |
$877K |
| S9485 |
Crisis intervention mental h |
693 |
156 |
$441K |
| H0031 |
Mh health assess by non-md |
3,566 |
3,189 |
$336K |
| 96165 |
|
5,085 |
1,304 |
$325K |
| 90834 |
|
3,289 |
2,496 |
$252K |
| 90792 |
|
1,408 |
1,221 |
$174K |
| 99213 |
|
3,889 |
3,279 |
$140K |
| 96164 |
|
6,518 |
1,625 |
$116K |
| H0001 |
Alcohol and/or drug assess |
927 |
881 |
$98K |
| 99215 |
Prolong outpt/office vis |
938 |
829 |
$70K |
| 90847 |
|
1,246 |
882 |
$47K |
| 90791 |
|
985 |
970 |
$42K |
| H0046 |
Mental health service, nos |
5,029 |
4,194 |
$33K |
| T1001 |
Nursing assessment/evaluatn |
2,452 |
1,669 |
$26K |
| 99212 |
|
960 |
877 |
$24K |
| 90832 |
|
1,051 |
864 |
$24K |
| H0034 |
Med trng & support per 15min |
493 |
340 |
$20K |
| 99203 |
|
363 |
362 |
$19K |
| 80305 |
|
781 |
581 |
$9K |
| H0038 |
Self-help/peer svc per 15min |
8,696 |
2,623 |
$8K |
| 96372 |
|
633 |
549 |
$8K |
| H2021 |
Com wrap-around sv, 15 min |
1,865 |
845 |
$6K |
| H2027 |
Psychoed svc, per 15 min |
253 |
222 |
$6K |
| H0023 |
Alcohol and/or drug outreach |
673 |
322 |
$6K |
| H2025 |
Supp maint employ, 15 min |
52 |
38 |
$5K |
| 90853 |
|
3,100 |
1,224 |
$4K |
| 99202 |
|
162 |
133 |
$4K |
| 36415 |
|
1,035 |
895 |
$4K |
| H2012 |
Behav hlth day treat, per hr |
39 |
25 |
$3K |
| T1016 |
Case management |
60 |
53 |
$2K |
| H2011 |
Crisis interven svc, 15 min |
8,085 |
4,641 |
$1K |
| 80306 |
|
62 |
44 |
$665.73 |
| 83036 |
|
77 |
73 |
$573.32 |
| H2031 |
Mh clubhouse svc, per diem |
102 |
26 |
$517.32 |
| 96127 |
|
123 |
89 |
$234.53 |
| 99211 |
|
18 |
18 |
$174.72 |
| S9981 |
Med record copy admin |
12 |
12 |
$80.00 |
| 36416 |
|
28 |
28 |
$69.48 |
| S9982 |
Med record copy per page |
12 |
12 |
$56.10 |
| S9999 |
Sales tax |
12 |
12 |
$16.71 |
| 96160 |
|
623 |
616 |
$2.34 |
| H0032 |
Mh svc plan dev by non-md |
1,042 |
480 |
$0.00 |
| 96153 |
|
5,851 |
1,224 |
$0.00 |
| T1015 |
Clinic service |
389 |
120 |
$0.00 |
| 90846 |
|
59 |
49 |
$0.00 |
| T2038 |
Comm trans waiver/service |
65 |
43 |
$0.00 |