| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
|
202,373 |
116,786 |
$23.35M |
| T2023 |
Targeted case mgmt per month |
34,737 |
31,806 |
$11.11M |
| 90834 |
|
48,729 |
37,470 |
$4.40M |
| H0020 |
Alcohol and/or drug services |
50,306 |
10,816 |
$4.36M |
| H0040 |
Assert comm tx pgm per diem |
5,380 |
4,473 |
$3.77M |
| 90832 |
|
60,894 |
42,772 |
$3.76M |
| 99214 |
|
60,171 |
50,671 |
$3.32M |
| 90791 |
|
26,426 |
21,792 |
$2.77M |
| 99213 |
|
41,930 |
35,917 |
$2.23M |
| T1040 |
Comm bh clinic svc per diem |
245,258 |
141,814 |
$2.17M |
| H0011 |
Alcohol and/or drug services |
9,261 |
641 |
$2.09M |
| H0018 |
Alcohol and/or drug services |
5,759 |
429 |
$1.03M |
| H2015 |
Comp comm supp svc, 15 min |
12,717 |
4,571 |
$828K |
| H2019 |
Ther behav svc, per 15 min |
5,129 |
1,063 |
$774K |
| 90847 |
|
5,269 |
3,937 |
$643K |
| 90853 |
|
17,902 |
5,544 |
$535K |
| 90792 |
|
3,080 |
2,715 |
$497K |
| H0038 |
Self-help/peer svc per 15min |
14,285 |
5,999 |
$409K |
| H2011 |
Crisis interven svc, 15 min |
2,551 |
2,117 |
$362K |
| H2021 |
Com wrap-around sv, 15 min |
2,606 |
811 |
$284K |
| 90846 |
|
2,235 |
1,950 |
$271K |
| H0001 |
Alcohol and/or drug assess |
1,815 |
1,660 |
$202K |
| H0015 |
Alcohol and/or drug services |
2,071 |
375 |
$200K |
| Q3014 |
Telehealth facility fee |
12,963 |
7,892 |
$67K |
| H0016 |
Alcohol and/or drug services |
305 |
260 |
$40K |
| 90887 |
|
450 |
377 |
$32K |
| 90833 |
|
418 |
353 |
$31K |
| 99215 |
Prolong outpt/office vis |
444 |
321 |
$28K |
| 99354 |
|
376 |
257 |
$16K |
| H2000 |
Comp multidisipln evaluation |
21 |
12 |
$10K |
| 99212 |
|
383 |
289 |
$9K |
| H0004 |
Alcohol and/or drug services |
171 |
92 |
$6K |
| H0002 |
Alcohol and/or drug screenin |
45 |
45 |
$4K |
| 99203 |
|
65 |
57 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
99 |
64 |
$2K |
| H0006 |
Alcohol and/or drug services |
55 |
26 |
$1K |
| 36415 |
|
452 |
372 |
$954.35 |
| H0033 |
Oral med adm direct observe |
30 |
14 |
$200.00 |
| 99406 |
|
24 |
17 |
$116.59 |