| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Alcohol and/or drug outreach |
39,681 |
37,338 |
$12.89M |
| T2033 |
Res, nos waiver per diem |
51,451 |
1,749 |
$12.73M |
| T1017 |
Targeted case management |
24,367 |
23,994 |
$8.26M |
| H0040 |
Assert comm tx pgm per diem |
18,553 |
1,706 |
$3.90M |
| H0035 |
Mh partial hosp tx under 24h |
38,582 |
2,919 |
$3.85M |
| H0015 |
Alcohol and/or drug services |
7,723 |
1,157 |
$1.70M |
| H0039 |
Asser com tx face-face/15min |
2,095 |
1,515 |
$1.51M |
| 99214 |
|
23,744 |
17,125 |
$1.51M |
| H2011 |
Crisis interven svc, 15 min |
1,914 |
1,272 |
$1.39M |
| T2023 |
Targeted case mgmt per month |
4,136 |
4,057 |
$1.24M |
| 90834 |
|
16,197 |
8,500 |
$1.21M |
| 90791 |
|
8,631 |
7,851 |
$1.06M |
| 99213 |
|
19,553 |
16,530 |
$815K |
| H2017 |
Psysoc rehab svc, per 15 min |
15,060 |
1,312 |
$774K |
| 97150 |
|
12,722 |
830 |
$765K |
| T2022 |
Case management, per month |
5,903 |
5,325 |
$738K |
| G9012 |
Other specified case mgmt |
3,480 |
3,067 |
$726K |
| H0036 |
Comm psy face-face per 15min |
2,998 |
2,056 |
$696K |
| 90853 |
|
23,094 |
5,984 |
$490K |
| 90832 |
|
7,371 |
4,138 |
$403K |
| 90837 |
|
2,963 |
1,720 |
$388K |
| H0006 |
Alcohol and/or drug services |
1,485 |
1,305 |
$321K |
| H0024 |
Alcohol and/or drug preventi |
2,900 |
1,007 |
$219K |
| H0046 |
Mental health service, nos |
2,002 |
443 |
$207K |
| T2021 |
Day habil waiver per 15 min |
4,587 |
537 |
$202K |
| 90847 |
|
2,320 |
1,678 |
$190K |
| 99442 |
|
6,424 |
4,601 |
$153K |
| 99215 |
Prolong outpt/office vis |
1,299 |
1,174 |
$128K |
| 80305 |
|
11,442 |
7,286 |
$123K |
| 99443 |
|
3,544 |
2,242 |
$120K |
| T2003 |
N-et; encounter/trip |
11,854 |
457 |
$74K |
| G0495 |
Rn care train/edu in hh |
718 |
409 |
$65K |
| 90792 |
|
734 |
658 |
$54K |
| H2014 |
Skills train and dev, 15 min |
619 |
86 |
$50K |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
459 |
162 |
$49K |
| H0032 |
Mh svc plan dev by non-md |
709 |
526 |
$33K |
| 96372 |
|
4,730 |
3,339 |
$31K |
| T1027 |
Family training & counseling |
414 |
227 |
$30K |
| 90846 |
|
159 |
113 |
$13K |
| T1023 |
Program intake assessment |
75 |
48 |
$11K |
| 36415 |
|
3,166 |
2,604 |
$4K |
| 99212 |
|
245 |
222 |
$4K |
| 99211 |
|
263 |
187 |
$2K |
| Q3014 |
Telehealth facility fee |
95 |
86 |
$932.00 |