| Code | Description | Claims | Beneficiaries | Total Paid |
| H0005 |
Alcohol and/or drug services |
3,578 |
1,523 |
$100K |
| 99213 |
|
1,490 |
1,205 |
$63K |
| H0004 |
Alcohol and/or drug services |
2,316 |
1,411 |
$53K |
| H0048 |
Spec coll non-blood:a/d test |
2,565 |
1,791 |
$21K |
| 99214 |
|
4,940 |
3,870 |
$19K |
| 90834 |
|
6,555 |
4,549 |
$19K |
| 90832 |
|
3,483 |
2,461 |
$9K |
| T1016 |
Case management |
4,276 |
1,891 |
$9K |
| H0001 |
Alcohol and/or drug assess |
69 |
69 |
$7K |
| 90833 |
|
4,444 |
3,525 |
$7K |
| H2014 |
Skills train and dev, 15 min |
2,029 |
785 |
$5K |
| 80305 |
|
827 |
668 |
$5K |
| H0032 |
Mh svc plan dev by non-md |
744 |
687 |
$4K |
| H0031 |
Mh health assess by non-md |
320 |
317 |
$3K |
| Q3014 |
Telehealth facility fee |
7,493 |
5,313 |
$2K |
| 90837 |
|
465 |
306 |
$2K |
| 90686 |
|
44 |
42 |
$609.98 |
| 96372 |
|
45 |
38 |
$544.79 |
| 90853 |
|
906 |
369 |
$465.08 |
| 90847 |
|
102 |
80 |
$423.41 |
| H2023 |
Supported employ, per 15 min |
268 |
163 |
$421.44 |
| 90471 |
|
27 |
25 |
$376.58 |
| 90715 |
|
13 |
12 |
$263.52 |
| 90792 |
|
46 |
37 |
$245.83 |
| 96160 |
|
35 |
32 |
$99.04 |
| H0038 |
Self-help/peer svc per 15min |
79 |
44 |
$35.40 |
| G0008 |
Admin influenza virus vac |
43 |
39 |
$16.41 |
| 90662 |
|
35 |
33 |
$0.00 |