| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
49,718 |
20,008 |
$13.40M |
| H2017 |
Psysoc rehab svc, per 15 min |
44,051 |
16,837 |
$10.70M |
| 90837 |
|
24,940 |
12,215 |
$10.56M |
| 99214 |
|
4,471 |
4,081 |
$3.26M |
| 90834 |
|
8,564 |
5,919 |
$2.70M |
| G2212 |
Prolong outpt/office vis |
7,627 |
5,178 |
$2.61M |
| 99213 |
|
3,539 |
3,360 |
$1.94M |
| 99215 |
Prolong outpt/office vis |
2,543 |
2,402 |
$1.88M |
| 99231 |
|
2,183 |
485 |
$1.82M |
| H2011 |
Crisis interven svc, 15 min |
2,054 |
1,535 |
$1.68M |
| H0032 |
Mh svc plan dev by non-md |
5,651 |
4,869 |
$1.63M |
| 99232 |
|
1,274 |
326 |
$1.15M |
| 99205 |
Prolong outpt/office vis |
821 |
820 |
$1.13M |
| 90832 |
|
4,614 |
3,380 |
$955K |
| 90839 |
|
2,427 |
2,111 |
$851K |
| H0038 |
Self-help/peer svc per 15min |
3,625 |
1,871 |
$770K |
| T1001 |
Nursing assessment/evaluatn |
1,855 |
1,782 |
$738K |
| H0034 |
Med trng & support per 15min |
2,926 |
2,621 |
$736K |
| H2019 |
Ther behav svc, per 15 min |
1,645 |
388 |
$690K |
| T2024 |
Serv asmnt/care plan waiver |
611 |
602 |
$529K |
| 99239 |
|
311 |
291 |
$511K |
| 99212 |
|
932 |
917 |
$362K |
| T2021 |
Day habil waiver per 15 min |
713 |
449 |
$360K |
| 99223 |
Prolong inpt eval add15 m |
145 |
143 |
$331K |
| 90847 |
|
851 |
623 |
$294K |
| 99222 |
|
153 |
149 |
$277K |
| 90791 |
|
2,561 |
2,511 |
$274K |
| 96372 |
|
1,393 |
1,226 |
$240K |
| 99221 |
|
151 |
139 |
$196K |
| 99204 |
|
130 |
130 |
$179K |
| H0033 |
Oral med adm direct observe |
1,066 |
993 |
$178K |
| 99203 |
|
182 |
182 |
$174K |
| 90840 |
|
395 |
377 |
$119K |
| 99238 |
|
208 |
198 |
$93K |
| 90792 |
|
136 |
134 |
$54K |
| H0031 |
Mh health assess by non-md |
79 |
79 |
$44K |
| 90853 |
|
1,558 |
489 |
$38K |
| H0025 |
Alcohol and/or drug preventi |
313 |
196 |
$33K |
| H2021 |
Com wrap-around sv, 15 min |
250 |
233 |
$27K |
| 99484 |
|
33 |
31 |
$22K |
| T1013 |
Sign lang/oral interpreter |
286 |
233 |
$10K |
| 90785 |
|
16 |
16 |
$201.52 |
| 99443 |
|
12 |
12 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
694 |
288 |
$0.00 |
| 99451 |
|
18 |
17 |
$0.00 |
| H0049 |
Alcohol/drug screening |
39 |
20 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
38 |
38 |
$0.00 |
| H0019 |
Alcohol and/or drug services |
5,883 |
240 |
$0.00 |
| H0005 |
Alcohol and/or drug services |
264 |
69 |
$0.00 |
| H0020 |
Alcohol and/or drug services |
2,396 |
108 |
$0.00 |
| G0397 |
Alcohol/subs interv >30 min |
33 |
33 |
$0.00 |