| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
158,240 |
38,470 |
$29.03M |
| H2015 |
Comp comm supp svc, 15 min |
106,854 |
33,793 |
$26.94M |
| H0004 |
Alcohol and/or drug services |
184,873 |
61,849 |
$20.76M |
| H0020 |
Alcohol and/or drug services |
1,034,732 |
40,230 |
$15.91M |
| H0018 |
Alcohol and/or drug services |
32,780 |
2,499 |
$15.83M |
| H0019 |
Alcohol and/or drug services |
76,216 |
4,343 |
$13.24M |
| H0005 |
Alcohol and/or drug services |
166,676 |
25,421 |
$10.26M |
| T1017 |
Targeted case management |
67,179 |
28,345 |
$10.08M |
| H0034 |
Med trng & support per 15min |
31,672 |
13,343 |
$5.41M |
| 90837 |
|
14,409 |
7,289 |
$4.29M |
| H2019 |
Ther behav svc, per 15 min |
11,177 |
1,498 |
$3.81M |
| S9484 |
Crisis intervention per hour |
701 |
463 |
$3.67M |
| H2011 |
Crisis interven svc, 15 min |
9,310 |
5,319 |
$3.63M |
| 99215 |
Prolong outpt/office vis |
4,785 |
4,357 |
$3.26M |
| H2010 |
Comprehensive med svc 15 min |
8,996 |
6,116 |
$2.32M |
| 99214 |
|
4,182 |
3,733 |
$2.06M |
| H0032 |
Mh svc plan dev by non-md |
14,953 |
10,377 |
$2.04M |
| S5000 |
Prescription drug, generic |
52,366 |
2,105 |
$1.55M |
| G2212 |
Prolong outpt/office vis |
5,796 |
3,906 |
$1.50M |
| 90834 |
|
3,676 |
2,456 |
$836K |
| 99213 |
|
1,695 |
1,492 |
$556K |
| H0006 |
Alcohol and/or drug services |
6,513 |
3,831 |
$555K |
| T1001 |
Nursing assessment/evaluatn |
3,257 |
2,869 |
$481K |
| H0033 |
Oral med adm direct observe |
4,160 |
2,021 |
$446K |
| H0015 |
Alcohol and/or drug services |
6,589 |
672 |
$437K |
| 90847 |
|
1,524 |
793 |
$371K |
| H0038 |
Self-help/peer svc per 15min |
3,918 |
2,082 |
$340K |
| T2021 |
Day habil waiver per 15 min |
870 |
366 |
$333K |
| H2021 |
Com wrap-around sv, 15 min |
1,479 |
347 |
$331K |
| T2024 |
Serv asmnt/care plan waiver |
447 |
400 |
$312K |
| H0012 |
Alcohol and/or drug services |
1,782 |
374 |
$238K |
| 90832 |
|
1,635 |
1,156 |
$234K |
| 90791 |
|
2,318 |
1,910 |
$225K |
| 99205 |
Prolong outpt/office vis |
204 |
200 |
$178K |
| 96372 |
|
1,312 |
1,175 |
$154K |
| G0397 |
Alcohol/subs interv >30 min |
558 |
527 |
$147K |
| H0050 |
Alcohol/drug service 15 min |
3,034 |
411 |
$140K |
| 99212 |
|
806 |
708 |
$134K |
| 99415 |
Prolong outpt/office vis |
103 |
97 |
$107K |
| 99231 |
|
144 |
62 |
$83K |
| 99367 |
|
108 |
65 |
$83K |
| H0001 |
Alcohol and/or drug assess |
366 |
197 |
$82K |
| 99232 |
|
730 |
277 |
$60K |
| H0049 |
Alcohol/drug screening |
128 |
122 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
182 |
90 |
$53K |
| 96127 |
|
247 |
240 |
$34K |
| 99222 |
|
19 |
17 |
$21K |
| H2000 |
Comp multidisipln evaluation |
75 |
26 |
$14K |
| H0031 |
Mh health assess by non-md |
86 |
82 |
$12K |
| T1013 |
Sign lang/oral interpreter |
217 |
183 |
$10K |
| G0316 |
Prolong inpt eval add15 m |
21 |
15 |
$9K |
| 99484 |
|
33 |
33 |
$8K |
| 90792 |
|
51 |
51 |
$6K |
| H0025 |
Alcohol and/or drug preventi |
62 |
26 |
$4K |
| 90889 |
|
153 |
126 |
$3K |
| 90885 |
|
312 |
195 |
$2K |
| G0396 |
Alcohol/subs interv 15-30mn |
12 |
12 |
$1K |
| 90785 |
|
991 |
421 |
$33.00 |
| 90853 |
|
49 |
15 |
$0.00 |