| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Com wrap-around sv, per diem |
2,636 |
1,513 |
$12.30M |
| H0023 |
Alcohol and/or drug outreach |
14,509 |
14,100 |
$4.83M |
| T1017 |
Targeted case management |
7,089 |
6,920 |
$2.39M |
| 97150 |
|
3,689 |
1,657 |
$1.70M |
| H0035 |
Mh partial hosp tx under 24h |
7,893 |
836 |
$729K |
| H2017 |
Psysoc rehab svc, per 15 min |
10,571 |
939 |
$681K |
| 90837 |
|
5,834 |
2,712 |
$613K |
| 99214 |
|
4,717 |
3,826 |
$288K |
| H2011 |
Crisis interven svc, 15 min |
494 |
302 |
$277K |
| 90792 |
|
1,663 |
1,473 |
$201K |
| 90791 |
|
1,533 |
1,448 |
$196K |
| T2023 |
Targeted case mgmt per month |
536 |
536 |
$194K |
| 99213 |
|
5,287 |
4,358 |
$194K |
| H0036 |
Comm psy face-face per 15min |
1,104 |
582 |
$140K |
| T2003 |
N-et; encounter/trip |
6,929 |
255 |
$124K |
| Q3014 |
Telehealth facility fee |
4,520 |
3,958 |
$85K |
| T2021 |
Day habil waiver per 15 min |
1,521 |
319 |
$73K |
| H2016 |
Comp comm supp svc, per diem |
899 |
99 |
$71K |
| H0046 |
Mental health service, nos |
596 |
156 |
$71K |
| 90853 |
|
2,526 |
779 |
$50K |
| 90832 |
|
509 |
372 |
$28K |
| H0006 |
Alcohol and/or drug services |
104 |
101 |
$24K |
| 90834 |
|
173 |
123 |
$12K |
| 99215 |
Prolong outpt/office vis |
66 |
61 |
$7K |
| 90839 |
|
43 |
28 |
$6K |
| H0032 |
Mh svc plan dev by non-md |
86 |
77 |
$3K |
| 90846 |
|
19 |
12 |
$1K |
| 99212 |
|
53 |
30 |
$290.71 |