| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
18,427 |
5,590 |
$3.96M |
| 90834 |
|
8,341 |
5,555 |
$2.66M |
| 90837 |
|
5,537 |
3,747 |
$2.38M |
| G2212 |
Prolong outpt/office vis |
3,289 |
2,727 |
$1.86M |
| T1017 |
Targeted case management |
8,584 |
3,447 |
$1.68M |
| 99214 |
|
2,046 |
1,826 |
$1.44M |
| H0034 |
Med trng & support per 15min |
6,587 |
5,219 |
$1.08M |
| 99213 |
|
1,938 |
1,674 |
$866K |
| H2010 |
Comprehensive med svc 15 min |
3,873 |
1,669 |
$752K |
| 99215 |
Prolong outpt/office vis |
677 |
614 |
$734K |
| 90832 |
|
2,729 |
2,283 |
$597K |
| H2011 |
Crisis interven svc, 15 min |
1,531 |
992 |
$543K |
| H0005 |
Alcohol and/or drug services |
15,083 |
3,520 |
$532K |
| H0004 |
Alcohol and/or drug services |
6,254 |
3,014 |
$401K |
| 90791 |
|
2,237 |
2,103 |
$306K |
| T2024 |
Serv asmnt/care plan waiver |
318 |
282 |
$304K |
| 90792 |
|
654 |
601 |
$234K |
| H0033 |
Oral med adm direct observe |
707 |
654 |
$118K |
| H0038 |
Self-help/peer svc per 15min |
1,807 |
387 |
$107K |
| 99232 |
|
117 |
13 |
$95K |
| 99212 |
|
315 |
294 |
$87K |
| H0032 |
Mh svc plan dev by non-md |
242 |
226 |
$76K |
| H0020 |
Alcohol and/or drug services |
14,872 |
427 |
$72K |
| H2021 |
Com wrap-around sv, 15 min |
276 |
231 |
$47K |
| 99204 |
|
30 |
28 |
$36K |
| H0001 |
Alcohol and/or drug assess |
279 |
181 |
$23K |
| G0397 |
Alcohol/subs interv >30 min |
80 |
69 |
$18K |
| T2021 |
Day habil waiver per 15 min |
22 |
12 |
$17K |
| H0049 |
Alcohol/drug screening |
444 |
169 |
$15K |
| T1001 |
Nursing assessment/evaluatn |
37 |
37 |
$8K |
| 90853 |
|
96 |
29 |
$2K |