| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
151,648 |
53,598 |
$36.53M |
| H2013 |
Psych hlth fac svc, per diem |
22,270 |
4,935 |
$24.89M |
| H0020 |
Alcohol and/or drug services |
155,930 |
57,642 |
$20.29M |
| H2017 |
Psysoc rehab svc, per 15 min |
83,558 |
30,924 |
$18.94M |
| H0004 |
Alcohol and/or drug services |
195,935 |
60,576 |
$17.65M |
| H2010 |
Comprehensive med svc 15 min |
62,499 |
33,635 |
$10.54M |
| T1017 |
Targeted case management |
56,516 |
24,020 |
$9.59M |
| H0019 |
Alcohol and/or drug services |
40,499 |
2,600 |
$6.07M |
| H0032 |
Mh svc plan dev by non-md |
21,661 |
16,959 |
$5.55M |
| S9484 |
Crisis intervention per hour |
1,066 |
902 |
$4.06M |
| H2011 |
Crisis interven svc, 15 min |
4,368 |
2,781 |
$2.76M |
| H0005 |
Alcohol and/or drug services |
36,562 |
6,145 |
$2.55M |
| H2019 |
Ther behav svc, per 15 min |
7,796 |
1,074 |
$2.50M |
| S5000 |
Prescription drug, generic |
26,187 |
1,202 |
$767K |
| H0006 |
Alcohol and/or drug services |
4,510 |
3,308 |
$247K |
| H0018 |
Alcohol and/or drug services |
254 |
12 |
$214K |
| H0015 |
Alcohol and/or drug services |
3,003 |
600 |
$168K |
| H0012 |
Alcohol and/or drug services |
225 |
53 |
$90K |
| G0397 |
Alcohol/subs interv >30 min |
307 |
219 |
$66K |
| 90837 |
|
905 |
410 |
$31K |
| H0049 |
Alcohol/drug screening |
181 |
111 |
$17K |
| G0396 |
Alcohol/subs interv 15-30mn |
93 |
86 |
$13K |
| G2011 |
Alcohol/sub misuse assess |
94 |
70 |
$4K |
| 90791 |
|
42 |
42 |
$3K |
| T1007 |
Treatment plan development |
12 |
12 |
$2K |
| 90832 |
|
122 |
82 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
212 |
159 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
98 |
86 |
$0.00 |
| H0034 |
Med trng & support per 15min |
128 |
114 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
35 |
35 |
$0.00 |
| 90792 |
|
14 |
14 |
$0.00 |
| 90847 |
|
42 |
35 |
$0.00 |
| H0033 |
Oral med adm direct observe |
78 |
73 |
$0.00 |
| 99214 |
|
166 |
147 |
$0.00 |
| 99213 |
|
109 |
102 |
$0.00 |
| 90834 |
|
185 |
130 |
$0.00 |