| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Alcohol and/or drug outreach |
190,793 |
185,219 |
$63.70M |
| T1017 |
Targeted case management |
53,225 |
52,256 |
$17.87M |
| 90837 |
|
114,144 |
56,336 |
$12.45M |
| H0035 |
Mh partial hosp tx under 24h |
84,785 |
6,366 |
$8.32M |
| H2019 |
Ther behav svc, per 15 min |
13,416 |
1,976 |
$4.39M |
| H0040 |
Assert comm tx pgm per diem |
18,832 |
2,399 |
$3.90M |
| H0015 |
Alcohol and/or drug services |
14,487 |
2,692 |
$3.42M |
| H2011 |
Crisis interven svc, 15 min |
5,036 |
3,511 |
$3.34M |
| 99214 |
|
51,658 |
45,835 |
$3.34M |
| H0039 |
Asser com tx face-face/15min |
6,499 |
2,384 |
$2.55M |
| T2023 |
Targeted case mgmt per month |
7,515 |
7,392 |
$2.16M |
| H0036 |
Comm psy face-face per 15min |
9,103 |
6,216 |
$2.06M |
| 90791 |
|
15,198 |
14,495 |
$1.90M |
| 99213 |
|
40,353 |
36,227 |
$1.63M |
| 99215 |
Prolong outpt/office vis |
15,970 |
14,071 |
$1.59M |
| 90834 |
|
14,724 |
10,895 |
$1.15M |
| H2017 |
Psysoc rehab svc, per 15 min |
20,572 |
1,938 |
$1.03M |
| H2033 |
Multisys ther/juvenile 15min |
3,237 |
450 |
$719K |
| 90832 |
|
11,582 |
8,093 |
$684K |
| H0006 |
Alcohol and/or drug services |
2,815 |
2,577 |
$630K |
| H2034 |
A/d halfway house, per diem |
1,658 |
115 |
$280K |
| S9482 |
Family stabilization 15 min |
407 |
64 |
$215K |
| H0046 |
Mental health service, nos |
1,292 |
168 |
$113K |
| 96372 |
|
12,112 |
9,864 |
$105K |
| H0004 |
Alcohol and/or drug services |
2,008 |
957 |
$91K |
| 90853 |
|
4,349 |
2,052 |
$91K |
| G9012 |
Other specified case mgmt |
296 |
264 |
$61K |
| H0032 |
Mh svc plan dev by non-md |
1,131 |
976 |
$56K |
| 99211 |
|
3,869 |
3,591 |
$48K |
| 90847 |
|
311 |
255 |
$27K |
| 80306 |
|
1,945 |
1,251 |
$24K |
| 99354 |
|
307 |
249 |
$21K |
| T1999 |
Noc retail items andsupplies |
14 |
14 |
$14K |
| T2024 |
Serv asmnt/care plan waiver |
40 |
40 |
$12K |
| 96101 |
|
65 |
39 |
$12K |
| 96131 |
|
117 |
90 |
$10K |
| 96130 |
|
135 |
103 |
$10K |
| 99417 |
Prolong home eval add 15m |
229 |
221 |
$8K |
| 96137 |
|
57 |
42 |
$7K |
| A0120 |
Noner transport mini-bus |
352 |
24 |
$2K |
| 36415 |
|
1,236 |
1,008 |
$2K |
| 96136 |
|
26 |
26 |
$913.53 |
| Q3014 |
Telehealth facility fee |
34 |
34 |
$680.00 |
| 99212 |
|
12 |
12 |
$415.32 |