| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Alcohol and/or drug outreach |
17,485 |
17,007 |
$5.79M |
| T1017 |
Targeted case management |
13,660 |
13,611 |
$4.71M |
| 97150 |
|
7,514 |
2,267 |
$3.47M |
| H0040 |
Assert comm tx pgm per diem |
8,335 |
1,437 |
$1.59M |
| T2023 |
Targeted case mgmt per month |
3,679 |
3,679 |
$1.12M |
| H0039 |
Asser com tx face-face/15min |
1,228 |
1,074 |
$1.10M |
| H0046 |
Mental health service, nos |
11,750 |
1,439 |
$1.09M |
| H2017 |
Psysoc rehab svc, per 15 min |
24,555 |
2,077 |
$895K |
| 99213 |
|
13,138 |
11,310 |
$585K |
| 90834 |
|
6,373 |
3,902 |
$376K |
| H2011 |
Crisis interven svc, 15 min |
482 |
424 |
$200K |
| H2022 |
Com wrap-around sv, per diem |
25 |
24 |
$170K |
| H0036 |
Comm psy face-face per 15min |
830 |
516 |
$101K |
| 99214 |
|
1,517 |
1,315 |
$93K |
| G9012 |
Other specified case mgmt |
293 |
278 |
$71K |
| 90837 |
|
863 |
475 |
$66K |
| 90791 |
|
387 |
373 |
$36K |
| T2003 |
N-et; encounter/trip |
4,288 |
154 |
$24K |
| 90847 |
|
356 |
195 |
$21K |
| 99215 |
Prolong outpt/office vis |
201 |
181 |
$21K |
| H0015 |
Alcohol and/or drug services |
119 |
13 |
$11K |
| H2012 |
Behav hlth day treat, per hr |
113 |
12 |
$8K |
| 80305 |
|
622 |
378 |
$6K |
| 99490 |
Ccm add 20min |
306 |
92 |
$5K |
| 99205 |
Prolong outpt/office vis |
28 |
24 |
$4K |
| 90853 |
|
121 |
52 |
$2K |
| H0032 |
Mh svc plan dev by non-md |
34 |
25 |
$2K |
| 96372 |
|
227 |
160 |
$1K |
| 99212 |
|
67 |
57 |
$1K |