| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
12,942,903 |
3,593,769 |
$2.73B |
| H2017 |
Psysoc rehab svc, per 15 min |
4,321,332 |
1,265,212 |
$870.66M |
| T1017 |
Targeted case management |
3,583,778 |
1,005,568 |
$569.98M |
| H2010 |
Comprehensive med svc 15 min |
3,129,818 |
1,495,215 |
$552.28M |
| H0032 |
Mh svc plan dev by non-md |
3,277,257 |
1,443,736 |
$499.27M |
| 90837 |
|
936,085 |
401,384 |
$367.99M |
| S9484 |
Crisis intervention per hour |
226,456 |
203,252 |
$298.58M |
| H2019 |
Ther behav svc, per 15 min |
253,418 |
24,058 |
$107.27M |
| G2212 |
Prolong outpt/office vis |
375,276 |
206,303 |
$91.20M |
| 90834 |
|
210,026 |
136,316 |
$68.37M |
| 99232 |
|
79,041 |
18,240 |
$66.85M |
| H2013 |
Psych hlth fac svc, per diem |
71,605 |
4,175 |
$58.18M |
| H0018 |
Alcohol and/or drug services |
130,137 |
9,165 |
$47.21M |
| 99215 |
Prolong outpt/office vis |
39,524 |
34,293 |
$39.81M |
| H2012 |
Behav hlth day treat, per hr |
171,966 |
9,983 |
$37.30M |
| 99214 |
|
54,786 |
48,507 |
$37.19M |
| H0034 |
Med trng & support per 15min |
153,047 |
97,595 |
$33.10M |
| 90847 |
|
92,128 |
55,572 |
$31.30M |
| 99213 |
|
54,441 |
40,175 |
$25.34M |
| T2021 |
Day habil waiver per 15 min |
45,468 |
24,724 |
$24.19M |
| 99443 |
|
44,238 |
39,774 |
$20.64M |
| H2021 |
Com wrap-around sv, 15 min |
75,987 |
34,826 |
$19.20M |
| 90832 |
|
81,020 |
58,573 |
$16.61M |
| H0038 |
Self-help/peer svc per 15min |
50,201 |
10,739 |
$15.99M |
| H2011 |
Crisis interven svc, 15 min |
36,144 |
24,094 |
$14.32M |
| 99233 |
Prolong inpt eval add15 m |
11,983 |
4,312 |
$14.25M |
| 99222 |
|
9,028 |
8,746 |
$14.13M |
| H0019 |
Alcohol and/or drug services |
46,954 |
1,709 |
$8.30M |
| 90791 |
|
73,680 |
54,127 |
$8.30M |
| 99223 |
Prolong inpt eval add15 m |
4,079 |
3,989 |
$6.99M |
| H2000 |
Comp multidisipln evaluation |
21,911 |
11,438 |
$6.84M |
| 99484 |
|
4,790 |
4,522 |
$6.81M |
| 99309 |
|
9,667 |
9,231 |
$5.42M |
| 99205 |
Prolong outpt/office vis |
4,282 |
4,149 |
$5.34M |
| T2024 |
Serv asmnt/care plan waiver |
5,964 |
5,229 |
$4.88M |
| 99212 |
|
14,971 |
8,768 |
$4.30M |
| 99239 |
|
2,697 |
2,658 |
$3.59M |
| 99231 |
|
8,344 |
2,673 |
$3.58M |
| H0033 |
Oral med adm direct observe |
31,521 |
7,657 |
$3.44M |
| 99242 |
|
6,009 |
1,375 |
$3.10M |
| 99348 |
|
5,064 |
4,887 |
$2.89M |
| 99442 |
|
9,626 |
8,808 |
$2.85M |
| 99308 |
|
8,589 |
8,143 |
$2.62M |
| 98968 |
|
15,592 |
11,327 |
$2.52M |
| H0031 |
Mh health assess by non-md |
6,235 |
4,908 |
$2.37M |
| 90887 |
|
8,439 |
6,537 |
$2.20M |
| 99238 |
|
5,061 |
4,980 |
$2.01M |
| 99607 |
|
5,260 |
4,733 |
$1.77M |
| 99347 |
|
4,407 |
4,308 |
$1.77M |
| 99243 |
|
2,207 |
1,295 |
$1.64M |
| 99349 |
|
1,958 |
1,315 |
$1.43M |
| 99368 |
|
3,072 |
1,924 |
$1.15M |
| 99252 |
|
1,743 |
656 |
$1.11M |
| 99306 |
Prolong nursin fac eval 15m |
1,320 |
1,314 |
$1.06M |
| 99606 |
|
6,034 |
5,483 |
$1.01M |
| 98967 |
|
8,764 |
7,098 |
$880K |
| T1013 |
Sign lang/oral interpreter |
11,885 |
9,262 |
$843K |
| 96127 |
|
6,320 |
5,668 |
$701K |
| 99310 |
Prolong nursin fac eval 15m |
589 |
507 |
$687K |
| 99350 |
Prolong home eval add 15m |
836 |
525 |
$643K |
| 99204 |
|
931 |
825 |
$584K |
| 90792 |
|
1,620 |
1,563 |
$522K |
| 90853 |
|
19,833 |
5,526 |
$484K |
| 99236 |
Prolong inpt eval add15 m |
186 |
186 |
$430K |
| 90785 |
|
23,594 |
16,036 |
$362K |
| 99244 |
|
333 |
206 |
$335K |
| 99366 |
|
920 |
737 |
$325K |
| T1001 |
Nursing assessment/evaluatn |
1,420 |
1,100 |
$267K |
| 99221 |
|
219 |
214 |
$255K |
| 96372 |
|
2,341 |
1,980 |
$241K |
| 99245 |
|
131 |
114 |
$205K |
| 98966 |
|
3,652 |
3,109 |
$191K |
| 99234 |
|
130 |
70 |
$179K |
| 99305 |
|
318 |
318 |
$176K |
| 99367 |
|
113 |
83 |
$175K |
| 99235 |
|
82 |
81 |
$150K |
| 90833 |
|
311 |
182 |
$147K |
| 99415 |
Prolong outpt/office vis |
136 |
134 |
$143K |
| 99203 |
|
232 |
215 |
$137K |
| 99253 |
|
128 |
110 |
$128K |
| H0025 |
Alcohol and/or drug preventi |
1,691 |
574 |
$127K |
| 96137 |
|
107 |
68 |
$126K |
| 90885 |
|
703 |
560 |
$118K |
| 99345 |
Prolong home eval add 15m |
88 |
88 |
$84K |
| 99441 |
|
416 |
390 |
$50K |
| 96130 |
|
68 |
55 |
$42K |
| 96136 |
|
112 |
70 |
$35K |
| 99342 |
|
31 |
31 |
$28K |
| 90839 |
|
54 |
28 |
$18K |
| 99284 |
|
1,648 |
1,567 |
$14K |
| 99281 |
|
366 |
286 |
$14K |
| 99307 |
|
99 |
99 |
$13K |
| 96132 |
|
14 |
12 |
$9K |
| 0450 |
|
284 |
259 |
$8K |
| 90838 |
|
12 |
12 |
$6K |
| H0046 |
Mental health service, nos |
717 |
400 |
$4K |
| 93005 |
|
130 |
126 |
$459.22 |
| 85025 |
|
300 |
284 |
$305.68 |
| 80048 |
|
237 |
225 |
$198.96 |
| J1885 |
Ketorolac tromethamine inj |
136 |
126 |
$144.94 |
| 90471 |
|
114 |
114 |
$93.10 |
| 86780 |
|
49 |
48 |
$91.20 |
| 71046 |
|
36 |
34 |
$89.98 |
| 80076 |
|
76 |
74 |
$42.82 |
| 86593 |
|
28 |
27 |
$12.22 |
| 86592 |
|
28 |
27 |
$11.87 |
| 81025 |
|
57 |
55 |
$11.17 |
| 83690 |
|
33 |
32 |
$10.89 |
| 81003 |
|
15 |
15 |
$5.84 |
| 81001 |
|
45 |
44 |
$3.50 |
| 0250 |
|
763 |
687 |
$0.00 |
| 36415 |
|
441 |
387 |
$0.00 |
| 87086 |
|
18 |
17 |
$0.00 |
| 99255 |
|
31 |
31 |
$0.00 |
| 90868 |
|
408 |
58 |
$0.00 |
| J7030 |
Normal saline solution infus |
14 |
12 |
$0.00 |
| 85610 |
|
14 |
12 |
$0.00 |