| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
73,153 |
42,554 |
$24.07M |
| H0039 |
Asser com tx face-face/15min |
42,441 |
3,900 |
$7.76M |
| T1016 |
Case management |
21,015 |
14,356 |
$6.28M |
| H0036 |
Comm psy face-face per 15min |
8,754 |
1,952 |
$4.48M |
| 90834 |
|
45,585 |
35,597 |
$3.71M |
| 90837 |
|
35,139 |
26,201 |
$3.48M |
| H0038 |
Self-help/peer svc per 15min |
44,244 |
14,714 |
$2.64M |
| T1023 |
Program intake assessment |
4,368 |
3,988 |
$2.62M |
| 99213 |
|
36,658 |
33,926 |
$2.37M |
| H0031 |
Mh health assess by non-md |
11,520 |
11,426 |
$1.71M |
| H2015 |
Comp comm supp svc, 15 min |
16,556 |
5,510 |
$1.70M |
| H2011 |
Crisis interven svc, 15 min |
3,380 |
2,987 |
$1.31M |
| H0002 |
Alcohol and/or drug screenin |
7,285 |
7,269 |
$1.13M |
| 99214 |
|
10,748 |
9,998 |
$1.11M |
| 97153 |
|
7,675 |
483 |
$1.08M |
| 90832 |
|
16,590 |
13,111 |
$833K |
| 99205 |
Prolong outpt/office vis |
3,342 |
3,211 |
$635K |
| H2021 |
Com wrap-around sv, 15 min |
5,300 |
1,817 |
$534K |
| S0280 |
Medical home, initial plan |
9,095 |
2,024 |
$498K |
| 90847 |
|
5,001 |
3,593 |
$489K |
| 90853 |
|
16,721 |
6,819 |
$468K |
| 96372 |
|
14,032 |
11,691 |
$387K |
| 0365T |
|
3,190 |
240 |
$382K |
| 99212 |
|
8,197 |
7,480 |
$331K |
| 97155 |
|
2,294 |
491 |
$288K |
| H2022 |
Com wrap-around sv, per diem |
778 |
332 |
$265K |
| H2023 |
Supported employ, per 15 min |
1,651 |
917 |
$264K |
| H2033 |
Multisys ther/juvenile 15min |
1,159 |
249 |
$224K |
| S5111 |
Family homecare train/sessio |
1,576 |
717 |
$220K |
| H0004 |
Alcohol and/or drug services |
595 |
398 |
$166K |
| 99215 |
Prolong outpt/office vis |
938 |
887 |
$121K |
| 99204 |
|
845 |
784 |
$117K |
| 0368T |
|
1,417 |
264 |
$85K |
| 90791 |
|
1,000 |
998 |
$83K |
| 0364T |
|
3,249 |
240 |
$81K |
| 0369T |
|
743 |
228 |
$50K |
| 96112 |
|
155 |
137 |
$25K |
| H2000 |
Comp multidisipln evaluation |
356 |
347 |
$21K |
| H0015 |
Alcohol and/or drug services |
207 |
26 |
$20K |
| 99203 |
|
125 |
120 |
$12K |
| 96113 |
|
102 |
87 |
$10K |
| 97156 |
|
137 |
91 |
$9K |
| H0001 |
Alcohol and/or drug assess |
1,738 |
1,734 |
$6K |
| 90846 |
|
37 |
28 |
$4K |
| 99417 |
Prolong home eval add 15m |
47 |
47 |
$3K |
| 99211 |
|
31 |
30 |
$1K |
| H0034 |
Med trng & support per 15min |
25 |
24 |
$812.00 |
| T1040 |
Comm bh clinic svc per diem |
48,014 |
24,710 |
$348.00 |