| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
3,274 |
333 |
$348K |
| H2014 |
Skills train and dev, 15 min |
366 |
116 |
$253K |
| H2017 |
Psysoc rehab svc, per 15 min |
375 |
116 |
$214K |
| H2011 |
Crisis interven svc, 15 min |
1,158 |
404 |
$175K |
| H0031 |
Mh health assess by non-md |
560 |
522 |
$79K |
| 90837 |
|
833 |
676 |
$72K |
| 99205 |
Prolong outpt/office vis |
608 |
583 |
$58K |
| 90876 |
|
563 |
278 |
$47K |
| H2020 |
Ther behav svc, per diem |
388 |
377 |
$40K |
| T1016 |
Case management |
1,405 |
753 |
$24K |
| H0001 |
Alcohol and/or drug assess |
1,241 |
954 |
$22K |
| 99214 |
|
839 |
580 |
$22K |
| H0002 |
Alcohol and/or drug screenin |
1,233 |
931 |
$16K |
| 90833 |
|
429 |
312 |
$10K |
| 90792 |
|
51 |
49 |
$6K |
| 99354 |
|
103 |
96 |
$5K |
| H0025 |
Alcohol and/or drug preventi |
612 |
435 |
$5K |
| 90832 |
|
151 |
106 |
$3K |
| H0034 |
Med trng & support per 15min |
636 |
382 |
$2K |
| 90791 |
|
51 |
49 |
$2K |
| 99213 |
|
33 |
26 |
$904.94 |
| 90836 |
|
20 |
18 |
$753.10 |
| 80306 |
|
60 |
43 |
$339.47 |
| 80305 |
|
103 |
84 |
$323.52 |
| 99204 |
|
16 |
14 |
$312.54 |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$184.38 |
| 81025 |
|
20 |
15 |
$33.35 |
| 96127 |
|
67 |
54 |
$0.88 |
| 90863 |
|
59 |
41 |
$0.00 |
| 96130 |
|
13 |
13 |
$0.00 |
| T1003 |
Lpn/lvn services up to 15min |
45 |
33 |
$0.00 |
| 96101 |
|
13 |
13 |
$0.00 |
| 90885 |
|
14 |
13 |
$0.00 |
| 90889 |
|
17 |
12 |
$0.00 |
| T1019 |
Personal care ser per 15 min |
19 |
15 |
$0.00 |
| G2011 |
Alcohol/sub misuse assess |
13 |
13 |
$0.00 |