| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
132,431 |
4,534 |
$26.33M |
| T1020 |
Personal care ser per diem |
130,186 |
4,455 |
$10.38M |
| H2015 |
Comp comm supp svc, 15 min |
34,398 |
7,062 |
$8.75M |
| H0039 |
Asser com tx face-face/15min |
20,713 |
2,055 |
$5.54M |
| T1017 |
Targeted case management |
13,681 |
8,992 |
$4.13M |
| H2030 |
Mh clubhouse svc, per 15 min |
21,479 |
2,280 |
$3.26M |
| 97153 |
|
7,299 |
705 |
$2.84M |
| H2014 |
Skills train and dev, 15 min |
21,328 |
2,690 |
$2.52M |
| 99213 |
|
6,225 |
5,955 |
$2.13M |
| T1016 |
Case management |
9,317 |
6,216 |
$2.04M |
| 99214 |
|
4,180 |
3,971 |
$1.82M |
| 90837 |
|
5,121 |
3,778 |
$1.63M |
| H0032 |
Mh svc plan dev by non-md |
4,926 |
3,591 |
$1.45M |
| T1002 |
Rn services up to 15 minutes |
2,127 |
1,201 |
$1.44M |
| 90834 |
|
4,676 |
3,791 |
$1.05M |
| H2011 |
Crisis interven svc, 15 min |
662 |
614 |
$733K |
| 90832 |
|
4,405 |
3,495 |
$561K |
| H0036 |
Comm psy face-face per 15min |
1,104 |
421 |
$478K |
| 96372 |
|
2,357 |
1,765 |
$462K |
| 90791 |
|
1,620 |
1,609 |
$374K |
| T1023 |
Program intake assessment |
118 |
96 |
$300K |
| H0031 |
Mh health assess by non-md |
808 |
798 |
$255K |
| 99212 |
|
637 |
624 |
$204K |
| 90853 |
|
190 |
70 |
$125K |
| H0002 |
Alcohol and/or drug screenin |
336 |
334 |
$113K |
| S0280 |
Medical home, initial plan |
435 |
337 |
$105K |
| 99215 |
Prolong outpt/office vis |
96 |
96 |
$61K |
| Q3014 |
Telehealth facility fee |
1,510 |
1,390 |
$37K |
| T1999 |
Noc retail items andsupplies |
1,430 |
1,429 |
$18K |
| H0038 |
Self-help/peer svc per 15min |
256 |
104 |
$15K |
| H2023 |
Supported employ, per 15 min |
51 |
45 |
$668.31 |