| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
1,135 |
1,135 |
$4.14M |
| T2025 |
Waiver service, nos |
6,832 |
6,154 |
$3.88M |
| H2023 |
Supported employ, per 15 min |
2,381 |
828 |
$195K |
| H0004 |
Alcohol and/or drug services |
232,607 |
117,835 |
$135K |
| 99214 |
|
58,232 |
48,306 |
$122K |
| 99213 |
|
48,308 |
41,259 |
$116K |
| 99443 |
|
22,346 |
19,048 |
$95K |
| 90837 |
|
93,469 |
50,060 |
$61K |
| 90834 |
|
47,522 |
27,299 |
$22K |
| H2015 |
Comp comm supp svc, 15 min |
254,870 |
121,347 |
$21K |
| 90832 |
|
35,098 |
19,647 |
$17K |
| 90853 |
|
101,028 |
32,899 |
$16K |
| 99442 |
|
15,770 |
13,627 |
$16K |
| 90791 |
|
13,711 |
12,901 |
$13K |
| 99215 |
Prolong outpt/office vis |
9,882 |
8,399 |
$13K |
| 90863 |
|
95 |
41 |
$12K |
| H2025 |
Supp maint employ, 15 min |
92 |
44 |
$11K |
| 99211 |
|
250 |
166 |
$3K |
| 99212 |
|
2,895 |
2,424 |
$3K |
| 96372 |
|
19,413 |
15,479 |
$3K |
| H0046 |
Mental health service, nos |
82,758 |
60,056 |
$2K |
| 99203 |
|
576 |
484 |
$2K |
| 90847 |
|
4,718 |
2,312 |
$2K |
| 99441 |
|
1,410 |
1,184 |
$1K |
| 99205 |
Prolong outpt/office vis |
1,467 |
1,300 |
$1K |
| 96165 |
|
13,647 |
5,994 |
$1K |
| H0034 |
Med trng & support per 15min |
5,255 |
2,467 |
$871.01 |
| 96164 |
|
13,743 |
6,019 |
$685.57 |
| H0038 |
Self-help/peer svc per 15min |
42,919 |
10,780 |
$647.52 |
| H2021 |
Com wrap-around sv, 15 min |
3,229 |
986 |
$623.36 |
| H2012 |
Behav hlth day treat, per hr |
23,557 |
6,509 |
$543.20 |
| 90846 |
|
1,732 |
955 |
$503.25 |
| H2011 |
Crisis interven svc, 15 min |
27,116 |
19,179 |
$319.11 |
| 90785 |
|
2,155 |
1,590 |
$307.14 |
| 99334 |
|
208 |
149 |
$305.87 |
| 99204 |
|
602 |
477 |
$302.00 |
| 99310 |
Prolong nursin fac eval 15m |
315 |
250 |
$167.18 |
| 96153 |
|
21,147 |
5,959 |
$91.85 |
| H0032 |
Mh svc plan dev by non-md |
870 |
610 |
$0.02 |
| H2022 |
Com wrap-around sv, per diem |
40,163 |
3,028 |
$0.00 |
| H0019 |
Alcohol and/or drug services |
259,402 |
8,952 |
$0.00 |
| H0047 |
Alcohol/drug abuse svc nos |
488 |
327 |
$0.00 |
| H2014 |
Skills train and dev, 15 min |
51 |
27 |
$0.00 |
| 90849 |
|
20 |
20 |
$0.00 |
| H0023 |
Alcohol and/or drug outreach |
20 |
13 |
$0.00 |
| 99307 |
|
28 |
19 |
$0.00 |
| T1016 |
Case management |
8,479 |
4,866 |
$0.00 |
| H0033 |
Oral med adm direct observe |
49,427 |
11,496 |
$0.00 |
| 99000 |
|
3,409 |
1,545 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
1,456 |
1,181 |
$0.00 |
| 90839 |
|
177 |
123 |
$0.00 |