| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assert comm tx pgm per diem |
54,849 |
17,421 |
$23.91M |
| S5102 |
Adult day care per diem |
14,688 |
4,918 |
$18.88M |
| S9485 |
Crisis intervention mental h |
10,252 |
6,620 |
$9.83M |
| T2016 |
Habil res waiver per diem |
2,992 |
656 |
$4.48M |
| 90837 |
|
53,429 |
26,502 |
$4.27M |
| H0037 |
Comm psy sup tx pgm per diem |
15,255 |
3,716 |
$3.97M |
| 99214 |
|
40,086 |
34,574 |
$3.70M |
| T1016 |
Case management |
69,652 |
13,441 |
$3.31M |
| H2012 |
Behav hlth day treat, per hr |
85,186 |
9,026 |
$3.08M |
| H0018 |
Alcohol and/or drug services |
2,134 |
1,024 |
$3.02M |
| S5140 |
Adult foster care per diem |
1,086 |
594 |
$1.52M |
| H2034 |
A/d halfway house, per diem |
1,729 |
411 |
$1.26M |
| 90791 |
|
10,367 |
9,564 |
$910K |
| 90832 |
|
24,055 |
12,737 |
$907K |
| 90839 |
|
9,950 |
8,083 |
$707K |
| 99215 |
Prolong outpt/office vis |
4,197 |
3,726 |
$591K |
| 90834 |
|
10,262 |
6,899 |
$538K |
| 90853 |
|
24,537 |
6,169 |
$421K |
| H2019 |
Ther behav svc, per 15 min |
18,246 |
3,642 |
$376K |
| 99205 |
Prolong outpt/office vis |
1,830 |
1,666 |
$321K |
| 99213 |
|
5,485 |
4,717 |
$299K |
| H0015 |
Alcohol and/or drug services |
608 |
245 |
$172K |
| H2020 |
Ther behav svc, per diem |
374 |
181 |
$161K |
| 90847 |
|
2,145 |
1,299 |
$154K |
| 99223 |
Prolong inpt eval add15 m |
983 |
763 |
$140K |
| 99211 |
|
10,081 |
5,299 |
$122K |
| H0038 |
Self-help/peer svc per 15min |
3,165 |
779 |
$118K |
| H2035 |
A/d tx program, per hour |
1,430 |
300 |
$77K |
| 99232 |
|
1,143 |
576 |
$71K |
| H2036 |
A/d tx program, per diem |
324 |
155 |
$70K |
| H2017 |
Psysoc rehab svc, per 15 min |
2,571 |
901 |
$56K |
| 99233 |
Prolong inpt eval add15 m |
739 |
414 |
$49K |
| 90792 |
|
361 |
345 |
$49K |
| 99204 |
|
343 |
308 |
$48K |
| 99222 |
|
373 |
314 |
$44K |
| S9484 |
Crisis intervention per hour |
1,571 |
441 |
$38K |
| 90833 |
|
754 |
652 |
$37K |
| 90846 |
|
503 |
359 |
$35K |
| H0001 |
Alcohol and/or drug assess |
98 |
96 |
$26K |
| H0004 |
Alcohol and/or drug services |
464 |
253 |
$23K |
| 90840 |
|
410 |
361 |
$20K |
| 98968 |
|
826 |
562 |
$19K |
| H0012 |
Alcohol and/or drug services |
67 |
12 |
$8K |
| Q3014 |
Telehealth facility fee |
329 |
279 |
$5K |
| 99443 |
|
274 |
265 |
$5K |
| 99221 |
|
85 |
56 |
$4K |
| 98967 |
|
85 |
77 |
$2K |
| 98966 |
|
41 |
40 |
$372.80 |
| 90899 |
|
407 |
299 |
$0.00 |
| H0036 |
Comm psy face-face per 15min |
1,158 |
280 |
$0.00 |
| H2011 |
Crisis interven svc, 15 min |
93 |
64 |
$0.00 |
| H2016 |
Comp comm supp svc, per diem |
17 |
17 |
$0.00 |