| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0038 |
Self-help/peer services, per 15 minutes |
105,668 |
9,077 |
$15.57M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
114,391 |
8,882 |
$8.41M |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
1,835 |
1,420 |
$1.80M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
86,675 |
7,835 |
$1.54M |
| T1017 |
Targeted case management, each 15 minutes |
9,097 |
5,241 |
$653K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,200 |
4,696 |
$640K |
| H0031 |
Mental health assessment, by non-physician |
3,243 |
2,844 |
$523K |
| H0032 |
Mental health service plan development by non-physician |
2,882 |
2,352 |
$256K |
| 80306 |
|
10,777 |
5,273 |
$122K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,698 |
3,008 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,649 |
833 |
$60K |
| 99215 |
Prolong outpt/office vis |
58 |
54 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
44 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
26 |
$540.60 |
| 96127 |
|
66 |
60 |
$332.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
26 |
$269.94 |
| 86308 |
|
29 |
26 |
$84.51 |