| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Com wrap-around sv, per diem |
246,536 |
21,094 |
$63.11M |
| 90837 |
|
144,440 |
74,542 |
$11.82M |
| H2017 |
Psysoc rehab svc, per 15 min |
108,760 |
6,430 |
$6.85M |
| H2015 |
Comp comm supp svc, 15 min |
40,206 |
5,088 |
$6.85M |
| 99214 |
|
37,587 |
32,003 |
$2.87M |
| H0032 |
Mh svc plan dev by non-md |
3,016 |
870 |
$1.46M |
| T2021 |
Day habil waiver per 15 min |
12,045 |
695 |
$1.35M |
| 90834 |
|
13,401 |
7,967 |
$730K |
| 90832 |
|
15,634 |
9,326 |
$641K |
| H2012 |
Behav hlth day treat, per hr |
4,183 |
313 |
$614K |
| 99205 |
Prolong outpt/office vis |
4,155 |
3,547 |
$560K |
| 90791 |
|
4,509 |
4,011 |
$492K |
| 90847 |
|
2,816 |
1,757 |
$196K |
| 99213 |
|
3,830 |
3,318 |
$195K |
| 99204 |
|
1,601 |
1,358 |
$182K |
| Q3014 |
Telehealth facility fee |
4,110 |
3,927 |
$85K |
| H0038 |
Self-help/peer svc per 15min |
1,866 |
367 |
$80K |
| T1017 |
Targeted case management |
910 |
139 |
$31K |
| 99215 |
Prolong outpt/office vis |
190 |
176 |
$22K |
| 99443 |
|
118 |
102 |
$6K |
| 98968 |
|
156 |
116 |
$4K |
| 99203 |
|
51 |
40 |
$3K |
| 98966 |
|
113 |
96 |
$1K |
| 98967 |
|
40 |
35 |
$990.19 |
| 99442 |
|
17 |
17 |
$473.52 |
| H0036 |
Comm psy face-face per 15min |
430 |
174 |
$4.28 |