| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
138,950 |
34,129 |
$9.49M |
| H2017 |
Psysoc rehab svc, per 15 min |
19,438 |
4,779 |
$1.16M |
| 99213 |
|
9,577 |
8,626 |
$645K |
| T1017 |
Targeted case management |
26,256 |
11,347 |
$575K |
| 99214 |
|
4,331 |
3,881 |
$348K |
| 90837 |
|
2,082 |
762 |
$118K |
| 96131 |
|
414 |
403 |
$64K |
| 90791 |
|
446 |
438 |
$54K |
| 99204 |
|
326 |
326 |
$41K |
| 96137 |
|
380 |
344 |
$38K |
| 96130 |
|
417 |
407 |
$35K |
| 96372 |
|
2,638 |
2,332 |
$31K |
| H0032 |
Mh svc plan dev by non-md |
481 |
475 |
$30K |
| 99408 |
|
684 |
660 |
$21K |
| 90847 |
|
177 |
175 |
$13K |
| 96136 |
|
362 |
348 |
$12K |
| G0397 |
Alcohol/subs interv >30 min |
192 |
188 |
$12K |
| H2011 |
Crisis interven svc, 15 min |
73 |
58 |
$9K |
| H0031 |
Mh health assess by non-md |
70 |
69 |
$7K |
| 99407 |
|
266 |
256 |
$6K |
| 99215 |
Prolong outpt/office vis |
52 |
51 |
$6K |
| 99205 |
Prolong outpt/office vis |
31 |
31 |
$5K |
| 99441 |
|
102 |
97 |
$4K |
| 80305 |
|
283 |
266 |
$3K |
| 99442 |
|
83 |
83 |
$3K |
| 93923 |
|
16 |
16 |
$2K |
| 36415 |
|
488 |
478 |
$1K |
| 96127 |
|
170 |
155 |
$1K |
| 99212 |
|
30 |
24 |
$894.46 |
| H0002 |
Alcohol and/or drug screenin |
28 |
28 |
$702.96 |
| 98968 |
|
17 |
13 |
$620.84 |
| 99211 |
|
29 |
26 |
$530.96 |
| 90471 |
|
23 |
23 |
$367.81 |
| 99406 |
|
25 |
24 |
$345.50 |
| 90686 |
|
24 |
24 |
$186.67 |
| 92551 |
|
13 |
13 |
$130.39 |
| J1885 |
Ketorolac tromethamine inj |
22 |
18 |
$26.32 |
| 96146 |
|
29 |
29 |
$19.78 |
| G0442 |
Annual alcohol screen 15 min |
16 |
15 |
$0.00 |
| G0446 |
Intens behave ther cardio dx |
15 |
14 |
$0.00 |
| G0444 |
Depression screen annual |
16 |
15 |
$0.00 |