| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
42,438 |
41,692 |
$13.49M |
| H0023 |
Alcohol and/or drug outreach |
37,568 |
34,275 |
$10.86M |
| H2017 |
Psysoc rehab svc, per 15 min |
33,208 |
5,532 |
$2.72M |
| H0040 |
Assert comm tx pgm per diem |
13,931 |
2,037 |
$2.22M |
| 99214 |
|
27,740 |
23,973 |
$1.68M |
| H0039 |
Asser com tx face-face/15min |
6,210 |
2,180 |
$1.62M |
| T2022 |
Case management, per month |
11,613 |
10,894 |
$1.44M |
| H0046 |
Mental health service, nos |
5,842 |
1,294 |
$902K |
| 90834 |
|
12,053 |
6,549 |
$675K |
| 90837 |
|
6,891 |
4,360 |
$587K |
| H0036 |
Comm psy face-face per 15min |
4,054 |
2,047 |
$496K |
| 99213 |
|
11,037 |
9,807 |
$467K |
| 90791 |
|
4,597 |
3,907 |
$455K |
| S0201 |
Partial hospitalization serv |
2,577 |
212 |
$446K |
| H2019 |
Ther behav svc, per 15 min |
1,251 |
307 |
$259K |
| H0035 |
Mh partial hosp tx under 24h |
1,694 |
419 |
$257K |
| 90853 |
|
12,352 |
4,347 |
$221K |
| T1027 |
Family training & counseling |
1,678 |
905 |
$165K |
| 90847 |
|
2,067 |
1,209 |
$129K |
| 90792 |
|
1,663 |
1,298 |
$128K |
| H0006 |
Alcohol and/or drug services |
721 |
623 |
$127K |
| 90832 |
|
2,700 |
1,745 |
$111K |
| T2023 |
Targeted case mgmt per month |
460 |
458 |
$111K |
| H0032 |
Mh svc plan dev by non-md |
1,278 |
789 |
$81K |
| G9012 |
Other specified case mgmt |
575 |
457 |
$79K |
| 96372 |
|
7,339 |
5,899 |
$58K |
| T1023 |
Program intake assessment |
377 |
364 |
$51K |
| H2011 |
Crisis interven svc, 15 min |
223 |
209 |
$43K |
| 99215 |
Prolong outpt/office vis |
409 |
363 |
$32K |
| 99211 |
|
912 |
788 |
$12K |
| 90846 |
|
183 |
128 |
$12K |
| 99442 |
|
789 |
689 |
$6K |
| 80305 |
|
1,104 |
620 |
$5K |
| 99212 |
|
214 |
203 |
$4K |
| T1024 |
Team evaluation & management |
25 |
13 |
$2K |
| 99443 |
|
94 |
81 |
$891.52 |
| 36415 |
|
396 |
362 |
$302.41 |