| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Alcohol and/or drug outreach |
104,505 |
102,374 |
$34.75M |
| H2022 |
Com wrap-around sv, per diem |
19,170 |
3,138 |
$23.52M |
| T1017 |
Targeted case management |
66,569 |
66,482 |
$22.90M |
| H0035 |
Mh partial hosp tx under 24h |
108,087 |
9,270 |
$10.33M |
| 97150 |
|
70,419 |
4,365 |
$5.46M |
| H0040 |
Assert comm tx pgm per diem |
22,511 |
2,272 |
$3.84M |
| H0039 |
Asser com tx face-face/15min |
5,277 |
2,560 |
$3.52M |
| 99214 |
|
40,918 |
35,201 |
$2.42M |
| H2017 |
Psysoc rehab svc, per 15 min |
31,341 |
3,059 |
$2.11M |
| H0020 |
Alcohol and/or drug services |
230,503 |
9,577 |
$1.86M |
| H2018 |
Psysoc rehab svc, per diem |
2,601 |
476 |
$1.72M |
| 90837 |
|
19,498 |
12,420 |
$1.66M |
| H2011 |
Crisis interven svc, 15 min |
6,001 |
2,789 |
$1.66M |
| 99213 |
|
36,800 |
34,169 |
$1.48M |
| H2019 |
Ther behav svc, per 15 min |
4,967 |
738 |
$1.19M |
| H0036 |
Comm psy face-face per 15min |
6,779 |
4,700 |
$991K |
| H0004 |
Alcohol and/or drug services |
13,947 |
8,436 |
$988K |
| T2023 |
Targeted case mgmt per month |
3,116 |
3,112 |
$767K |
| 90834 |
|
7,382 |
5,122 |
$479K |
| 90791 |
|
3,067 |
2,979 |
$325K |
| 90792 |
|
2,418 |
2,347 |
$283K |
| 80305 |
|
29,241 |
11,620 |
$264K |
| 90847 |
|
2,599 |
1,715 |
$218K |
| S0109 |
Methadone oral 5mg |
26,568 |
1,140 |
$196K |
| H0032 |
Mh svc plan dev by non-md |
3,289 |
2,895 |
$190K |
| H0005 |
Alcohol and/or drug services |
5,540 |
1,909 |
$154K |
| 96372 |
|
16,158 |
11,869 |
$142K |
| 90853 |
|
5,772 |
2,443 |
$128K |
| H0006 |
Alcohol and/or drug services |
289 |
283 |
$66K |
| 99215 |
Prolong outpt/office vis |
629 |
513 |
$52K |
| 90832 |
|
758 |
582 |
$43K |
| 99212 |
|
1,003 |
845 |
$20K |
| 90846 |
|
162 |
125 |
$15K |
| H0014 |
Alcohol and/or drug services |
62 |
57 |
$8K |
| T2024 |
Serv asmnt/care plan waiver |
14 |
13 |
$4K |
| 96131 |
|
31 |
12 |
$3K |
| 96130 |
|
12 |
12 |
$1K |
| 82075 |
|
169 |
140 |
$276.00 |