| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
|
111,324 |
63,544 |
$11.17M |
| H2030 |
Mh clubhouse svc, per 15 min |
76,226 |
5,968 |
$3.83M |
| H2017 |
Psysoc rehab svc, per 15 min |
66,590 |
5,476 |
$3.75M |
| H2015 |
Comp comm supp svc, 15 min |
69,641 |
29,476 |
$3.25M |
| H0036 |
Comm psy face-face per 15min |
69,257 |
26,861 |
$3.07M |
| H2012 |
Behav hlth day treat, per hr |
49,777 |
6,835 |
$3.02M |
| 90834 |
|
44,317 |
28,518 |
$2.99M |
| T2048 |
Bh ltc res r&b, per diem |
7,457 |
798 |
$2.95M |
| H0039 |
Asser com tx face-face/15min |
26,218 |
2,943 |
$2.46M |
| 99213 |
|
41,316 |
33,634 |
$1.88M |
| H0031 |
Mh health assess by non-md |
18,730 |
15,629 |
$1.59M |
| 90832 |
|
29,433 |
20,328 |
$1.53M |
| H0018 |
Alcohol and/or drug services |
3,215 |
291 |
$1.29M |
| H0035 |
Mh partial hosp tx under 24h |
14,096 |
1,275 |
$1.29M |
| 90846 |
|
16,067 |
13,013 |
$1.27M |
| 90847 |
|
12,160 |
9,189 |
$959K |
| 99214 |
|
13,612 |
10,779 |
$925K |
| T1002 |
Rn services up to 15 minutes |
35,910 |
31,640 |
$703K |
| H2011 |
Crisis interven svc, 15 min |
3,457 |
2,777 |
$420K |
| T1017 |
Targeted case management |
16,433 |
8,677 |
$380K |
| H2022 |
Com wrap-around sv, per diem |
957 |
132 |
$290K |
| H0038 |
Self-help/peer svc per 15min |
9,550 |
3,490 |
$245K |
| 99205 |
Prolong outpt/office vis |
1,725 |
1,308 |
$193K |
| 90853 |
|
8,884 |
1,772 |
$171K |
| J2426 |
Inj, invega sustenna, 1 mg |
185 |
94 |
$135K |
| 99215 |
Prolong outpt/office vis |
1,462 |
1,039 |
$123K |
| 99204 |
|
1,424 |
1,038 |
$116K |
| H0032 |
Mh svc plan dev by non-md |
4,041 |
3,499 |
$67K |
| 96372 |
|
4,045 |
3,195 |
$46K |
| 99203 |
|
408 |
346 |
$25K |
| T2023 |
Targeted case mgmt per month |
18 |
12 |
$18K |
| J0401 |
Inj, abilify maintena, 1 mg |
16 |
12 |
$11K |
| 90791 |
|
98 |
91 |
$11K |
| 99212 |
|
336 |
287 |
$10K |
| 99309 |
|
411 |
367 |
$9K |
| 99308 |
|
354 |
346 |
$8K |
| H2021 |
Com wrap-around sv, 15 min |
110 |
24 |
$5K |
| H0015 |
Alcohol and/or drug services |
1,083 |
568 |
$4K |
| 99211 |
|
1,251 |
827 |
$3K |
| S5100 |
Adult daycare services 15min |
1,884 |
413 |
$0.00 |