| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2013 |
Psych hlth fac svc, per diem |
19,643 |
2,725 |
$17.55M |
| S9485 |
Crisis intervention mental h |
13,360 |
3,577 |
$5.72M |
| T2025 |
Waiver service, nos |
30,000 |
9,946 |
$4.47M |
| H2012 |
Behav hlth day treat, per hr |
22,521 |
7,873 |
$2.93M |
| G9149 |
Medical home level ii |
4,274 |
4,189 |
$1.07M |
| 90837 |
|
191,750 |
109,317 |
$385K |
| H2036 |
A/d tx program, per diem |
21,550 |
3,771 |
$332K |
| H2011 |
Crisis interven svc, 15 min |
144,448 |
79,895 |
$245K |
| T1041 |
Comm bh clinic svc per month |
355 |
333 |
$216K |
| H0004 |
Alcohol and/or drug services |
68,457 |
35,365 |
$210K |
| H2023 |
Supported employ, per 15 min |
1,432 |
547 |
$124K |
| H0046 |
Mental health service, nos |
73,160 |
43,822 |
$122K |
| 99213 |
|
79,487 |
72,512 |
$121K |
| T2023 |
Targeted case mgmt per month |
82 |
80 |
$103K |
| H2031 |
Mh clubhouse svc, per diem |
8,481 |
1,252 |
$97K |
| 90834 |
|
57,147 |
42,520 |
$90K |
| 90791 |
|
30,511 |
29,898 |
$88K |
| H2015 |
Comp comm supp svc, 15 min |
105,012 |
60,103 |
$58K |
| 90832 |
|
58,743 |
40,100 |
$57K |
| 99308 |
|
22,149 |
5,307 |
$44K |
| 90792 |
|
11,428 |
10,790 |
$37K |
| H0043 |
Supported housing, per diem |
367 |
124 |
$34K |
| 90847 |
|
6,497 |
4,320 |
$27K |
| 99214 |
|
10,200 |
9,286 |
$18K |
| H2027 |
Psychoed svc, per 15 min |
23,616 |
12,558 |
$15K |
| H0030 |
Alcohol and/or drug hotline |
132,836 |
96,065 |
$13K |
| 90853 |
|
26,589 |
11,898 |
$12K |
| H0038 |
Self-help/peer svc per 15min |
23,251 |
10,796 |
$10K |
| 99304 |
|
2,496 |
2,154 |
$9K |
| 99307 |
|
2,995 |
1,085 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
36 |
36 |
$3K |
| 99212 |
|
5,340 |
4,914 |
$3K |
| T1001 |
Nursing assessment/evaluatn |
6,736 |
4,608 |
$2K |
| H2014 |
Skills train and dev, 15 min |
492 |
387 |
$2K |
| 90846 |
|
712 |
549 |
$2K |
| H0023 |
Alcohol and/or drug outreach |
1,350 |
508 |
$1K |
| 99215 |
Prolong outpt/office vis |
147 |
132 |
$575.95 |
| 99334 |
|
1,365 |
1,160 |
$181.40 |
| H0034 |
Med trng & support per 15min |
327 |
163 |
$169.05 |
| 99347 |
|
466 |
424 |
$88.76 |
| 99309 |
|
34 |
14 |
$61.55 |
| 99348 |
|
77 |
50 |
$49.30 |
| H2021 |
Com wrap-around sv, 15 min |
2,099 |
831 |
$0.00 |
| 99075 |
|
300 |
264 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
2,590 |
1,574 |
$0.00 |
| 96102 |
|
521 |
420 |
$0.00 |
| 96101 |
|
391 |
200 |
$0.00 |
| 90785 |
|
299 |
215 |
$0.00 |
| 99211 |
|
178 |
160 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
34 |
31 |
$0.00 |
| 99354 |
|
68 |
55 |
$0.00 |
| 96137 |
|
14 |
14 |
$0.00 |
| S9981 |
Med record copy admin |
757 |
691 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
1,212 |
443 |
$0.00 |
| S9982 |
Med record copy per page |
753 |
673 |
$0.00 |
| 96131 |
|
18 |
14 |
$0.00 |
| 96372 |
|
157 |
114 |
$0.00 |
| 99315 |
|
26 |
24 |
$0.00 |