| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2011 |
Crisis interven svc, 15 min |
4,205 |
1,363 |
$2.18M |
| H0035 |
Mh partial hosp tx under 24h |
8,076 |
1,238 |
$2.18M |
| H0015 |
Alcohol and/or drug services |
6,484 |
1,235 |
$836K |
| 99220 |
|
1,286 |
883 |
$399K |
| 90792 |
|
1,168 |
1,104 |
$115K |
| A0180 |
Noner transport lodgng recip |
334 |
224 |
$73K |
| H0047 |
Alcohol/drug abuse svc nos |
1,193 |
351 |
$69K |
| H0001 |
Alcohol and/or drug assess |
623 |
608 |
$66K |
| 90791 |
|
233 |
229 |
$30K |
| H0002 |
Alcohol and/or drug screenin |
1,011 |
959 |
$28K |
| 90834 |
|
320 |
182 |
$23K |
| H0005 |
Alcohol and/or drug services |
384 |
132 |
$11K |
| G2087 |
Off base opioid tx, 60 m |
183 |
39 |
$11K |
| 99211 |
|
522 |
503 |
$9K |
| 90853 |
|
147 |
66 |
$4K |
| 80306 |
|
212 |
196 |
$3K |
| 82075 |
|
222 |
208 |
$3K |
| H0034 |
Med trng & support per 15min |
133 |
128 |
$2K |
| H0038 |
Self-help/peer svc per 15min |
231 |
132 |
$1K |
| T1016 |
Case management |
146 |
135 |
$943.93 |
| 86580 |
|
129 |
109 |
$591.15 |
| 80305 |
|
76 |
71 |
$0.00 |
| 81025 |
|
15 |
14 |
$0.00 |