| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case mgmt per month |
30,638 |
30,106 |
$14.42M |
| H2017 |
Psysoc rehab svc, per 15 min |
45,835 |
17,145 |
$3.79M |
| 90834 |
|
37,770 |
24,023 |
$3.37M |
| 90837 |
|
17,466 |
11,731 |
$2.85M |
| H0019 |
Alcohol and/or drug services |
4,499 |
219 |
$2.67M |
| H2035 |
A/d tx program, per hour |
29,155 |
6,208 |
$2.50M |
| 90791 |
|
8,395 |
8,085 |
$1.10M |
| H0032 |
Mh svc plan dev by non-md |
10,360 |
8,251 |
$982K |
| 90832 |
|
8,410 |
5,820 |
$802K |
| 99214 |
|
10,038 |
9,220 |
$775K |
| S0281 |
Medical home, maintenance |
2,590 |
2,569 |
$588K |
| H0038 |
Self-help/peer svc per 15min |
4,182 |
1,600 |
$403K |
| H0031 |
Mh health assess by non-md |
3,152 |
2,606 |
$319K |
| H2014 |
Skills train and dev, 15 min |
3,494 |
1,348 |
$265K |
| 90853 |
|
5,670 |
2,520 |
$261K |
| H0001 |
Alcohol and/or drug assess |
1,455 |
1,378 |
$249K |
| S0280 |
Medical home, initial plan |
590 |
567 |
$174K |
| 99215 |
Prolong outpt/office vis |
1,116 |
1,053 |
$138K |
| H0046 |
Mental health service, nos |
12,929 |
5,361 |
$137K |
| H2011 |
Crisis interven svc, 15 min |
739 |
419 |
$127K |
| S9484 |
Crisis intervention per hour |
188 |
79 |
$53K |
| 90899 |
|
1,739 |
1,046 |
$48K |
| 90785 |
|
3,427 |
2,689 |
$44K |
| G9012 |
Other specified case mgmt |
1,551 |
1,257 |
$27K |
| 99213 |
|
228 |
217 |
$13K |
| 90882 |
|
235 |
163 |
$12K |
| 96372 |
|
330 |
295 |
$3K |
| 99443 |
|
47 |
36 |
$3K |
| 90847 |
|
15 |
12 |
$2K |
| G2212 |
Prolong outpt/office vis |
14 |
13 |
$608.97 |
| 36415 |
|
39 |
36 |
$123.78 |
| H0043 |
Supported housing, per diem |
1,971 |
65 |
$0.00 |