| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assert comm tx pgm per diem |
116,468 |
4,088 |
$9.86M |
| H0004 |
Alcohol and/or drug services |
53,427 |
25,784 |
$4.93M |
| H0036 |
Comm psy face-face per 15min |
7,472 |
1,428 |
$2.95M |
| H2036 |
A/d tx program, per diem |
11,745 |
897 |
$2.59M |
| 99213 |
|
45,693 |
39,993 |
$2.30M |
| H0031 |
Mh health assess by non-md |
11,316 |
10,379 |
$1.77M |
| 90792 |
|
4,902 |
4,774 |
$593K |
| Q3014 |
Telehealth facility fee |
16,523 |
14,378 |
$413K |
| H2015 |
Comp comm supp svc, 15 min |
5,883 |
598 |
$322K |
| T1040 |
Comm bh clinic svc per diem |
1,020 |
765 |
$296K |
| S0281 |
Medical home, maintenance |
4,492 |
4,426 |
$226K |
| 99214 |
|
2,967 |
2,363 |
$225K |
| A0120 |
Noner transport mini-bus |
15,404 |
3,186 |
$155K |
| T1016 |
Case management |
3,134 |
581 |
$147K |
| H0038 |
Self-help/peer svc per 15min |
3,080 |
955 |
$102K |
| 96372 |
|
3,918 |
3,284 |
$36K |
| H0015 |
Alcohol and/or drug services |
280 |
24 |
$35K |
| 99212 |
|
876 |
733 |
$31K |
| T1017 |
Targeted case management |
494 |
457 |
$22K |
| 80305 |
|
1,426 |
1,019 |
$13K |
| H0032 |
Mh svc plan dev by non-md |
485 |
342 |
$12K |