| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
|
114,688 |
68,577 |
$11.35M |
| H0004 |
Alcohol and/or drug services |
90,002 |
48,283 |
$10.25M |
| H0038 |
Self-help/peer svc per 15min |
37,153 |
12,648 |
$4.53M |
| T2025 |
Waiver service, nos |
29,638 |
5,658 |
$4.09M |
| H2015 |
Comp comm supp svc, 15 min |
62,622 |
30,708 |
$3.01M |
| 90791 |
|
17,683 |
17,343 |
$2.85M |
| 99214 |
|
26,536 |
23,557 |
$2.24M |
| H0001 |
Alcohol and/or drug assess |
5,531 |
5,170 |
$2.15M |
| 96165 |
|
13,595 |
3,437 |
$1.38M |
| 90834 |
|
12,074 |
8,380 |
$1.16M |
| G9149 |
Medical home level ii |
3,681 |
3,612 |
$722K |
| 90847 |
|
9,066 |
5,589 |
$701K |
| 96153 |
|
17,235 |
3,792 |
$688K |
| T1016 |
Case management |
12,208 |
4,377 |
$671K |
| 90832 |
|
10,149 |
7,309 |
$518K |
| H2023 |
Supported employ, per 15 min |
4,171 |
1,212 |
$397K |
| 96164 |
|
13,556 |
3,442 |
$330K |
| 99215 |
Prolong outpt/office vis |
1,844 |
1,674 |
$231K |
| T2033 |
Res, nos waiver per diem |
2,857 |
107 |
$105K |
| 99213 |
|
1,799 |
1,584 |
$99K |
| H0046 |
Mental health service, nos |
11,255 |
10,935 |
$96K |
| G9150 |
Medical home level iii |
1,152 |
1,122 |
$90K |
| H0002 |
Alcohol and/or drug screenin |
4,918 |
4,834 |
$84K |
| H2025 |
Supp maint employ, 15 min |
994 |
312 |
$74K |
| 90833 |
|
640 |
581 |
$57K |
| H0033 |
Oral med adm direct observe |
13,358 |
3,247 |
$51K |
| G9148 |
Medical home level 1 |
142 |
142 |
$42K |
| 90792 |
|
527 |
518 |
$39K |
| H0023 |
Alcohol and/or drug outreach |
4,108 |
2,528 |
$35K |
| T1001 |
Nursing assessment/evaluatn |
358 |
350 |
$33K |
| 96372 |
|
1,311 |
963 |
$24K |
| 90853 |
|
2,287 |
1,257 |
$23K |
| H2014 |
Skills train and dev, 15 min |
306 |
165 |
$21K |
| 99205 |
Prolong outpt/office vis |
490 |
482 |
$18K |
| 99335 |
|
176 |
157 |
$18K |
| H2011 |
Crisis interven svc, 15 min |
32,834 |
14,521 |
$15K |
| 99443 |
|
283 |
258 |
$12K |
| H0019 |
Alcohol and/or drug services |
24,726 |
1,033 |
$10K |
| G2212 |
Prolong outpt/office vis |
156 |
146 |
$10K |
| 90785 |
|
431 |
271 |
$7K |
| 96127 |
|
4,224 |
3,821 |
$7K |
| H0018 |
Alcohol and/or drug services |
22,116 |
964 |
$6K |
| 90846 |
|
603 |
527 |
$3K |
| 99212 |
|
31 |
28 |
$1K |
| H0034 |
Med trng & support per 15min |
55 |
47 |
$1K |
| 99442 |
|
19 |
18 |
$786.05 |
| 99075 |
|
378 |
340 |
$263.52 |
| H0047 |
Alcohol/drug abuse svc nos |
3,284 |
1,501 |
$0.00 |
| S9485 |
Crisis intervention mental h |
209 |
56 |
$0.00 |
| 99072 |
|
840 |
618 |
$0.00 |
| H0031 |
Mh health assess by non-md |
320 |
255 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
281 |
134 |
$0.00 |
| H0025 |
Alcohol and/or drug preventi |
420 |
138 |
$0.00 |