| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
11,330 |
773 |
$7.40M |
| H0004 |
Alcohol and/or drug services |
47,856 |
14,055 |
$5.90M |
| 99309 |
|
15,906 |
9,964 |
$573K |
| 99310 |
Prolong nursin fac eval 15m |
9,459 |
6,948 |
$457K |
| 90836 |
|
11,798 |
6,612 |
$442K |
| 99306 |
Prolong nursin fac eval 15m |
6,416 |
6,099 |
$393K |
| 90833 |
|
12,871 |
9,249 |
$361K |
| H0031 |
Mh health assess by non-md |
1,302 |
1,270 |
$186K |
| 90837 |
|
3,704 |
1,905 |
$148K |
| 99497 |
|
3,596 |
3,317 |
$107K |
| 99308 |
|
4,144 |
2,752 |
$105K |
| 90838 |
|
1,627 |
845 |
$102K |
| 99337 |
|
876 |
612 |
$93K |
| H2026 |
Supp maint employ, per diem |
401 |
39 |
$83K |
| 99336 |
|
1,117 |
752 |
$58K |
| 99349 |
|
2,030 |
1,410 |
$57K |
| 99233 |
Prolong inpt eval add15 m |
708 |
208 |
$43K |
| 99350 |
Prolong home eval add 15m |
880 |
659 |
$43K |
| 99328 |
|
330 |
308 |
$42K |
| 90791 |
|
411 |
403 |
$29K |
| 99223 |
Prolong inpt eval add15 m |
230 |
221 |
$22K |
| 99215 |
Prolong outpt/office vis |
414 |
270 |
$20K |
| 99232 |
|
499 |
144 |
$18K |
| 90792 |
|
157 |
156 |
$13K |
| 99214 |
|
248 |
192 |
$10K |
| 99305 |
|
150 |
148 |
$9K |
| 96132 |
|
161 |
138 |
$5K |
| T1016 |
Case management |
278 |
96 |
$5K |
| 99491 |
Ccm add 20min |
642 |
613 |
$5K |
| 99335 |
|
123 |
71 |
$2K |
| 99496 |
|
121 |
117 |
$2K |
| 99205 |
Prolong outpt/office vis |
27 |
22 |
$2K |
| 99345 |
Prolong home eval add 15m |
13 |
12 |
$1K |
| 99348 |
|
48 |
44 |
$917.38 |
| 90832 |
|
20 |
14 |
$695.29 |
| 96136 |
|
57 |
57 |
$560.94 |
| 99334 |
|
27 |
26 |
$332.84 |
| 99307 |
|
22 |
20 |
$288.97 |
| 90785 |
|
153 |
109 |
$70.74 |
| 96116 |
|
14 |
14 |
$33.79 |
| 99358 |
Prolong nursin fac eval 15m |
45 |
38 |
$0.00 |
| G0444 |
Depression screen annual |
16 |
16 |
$0.00 |
| 99356 |
|
22 |
13 |
$0.00 |