| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
27,204 |
1,954 |
$5.25M |
| H2022 |
Community-based wrap-around services, per diem |
14,286 |
1,088 |
$3.63M |
| H2035 |
Alcohol and/or other drug treatment program, per hour |
2,280 |
138 |
$591K |
| T1017 |
Targeted case management, each 15 minutes |
980 |
966 |
$325K |
| H0045 |
Respite care services, not in the home, per diem |
1,834 |
94 |
$272K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
329 |
33 |
$43K |
| 90837 |
Psychotherapy, 53 minutes with patient |
318 |
172 |
$23K |
| 90791 |
Psychiatric diagnostic evaluation |
31 |
31 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
75 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |