| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1040 |
Comm bh clinic svc per diem |
52,208 |
11,832 |
$6.65M |
| 90837 |
|
6,160 |
3,416 |
$3K |
| 90791 |
|
1,159 |
1,092 |
$898.20 |
| 90834 |
|
2,732 |
1,728 |
$670.50 |
| 96158 |
|
149 |
69 |
$290.31 |
| H0038 |
Self-help/peer svc per 15min |
4,133 |
1,505 |
$234.84 |
| 90832 |
|
2,025 |
1,307 |
$99.11 |
| 96127 |
|
734 |
672 |
$54.82 |
| 90853 |
|
4,850 |
1,747 |
$49.71 |
| 99211 |
|
522 |
385 |
$0.00 |
| H2014 |
Skills train and dev, 15 min |
7,191 |
1,908 |
$0.00 |
| H0047 |
Alcohol/drug abuse svc nos |
1,620 |
751 |
$0.00 |
| H0031 |
Mh health assess by non-md |
128 |
118 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
5,329 |
1,586 |
$0.00 |
| 99204 |
|
463 |
426 |
$0.00 |
| 90863 |
|
270 |
172 |
$0.00 |
| 99401 |
|
78 |
55 |
$0.00 |
| 99212 |
|
141 |
110 |
$0.00 |
| T1017 |
Targeted case management |
2,745 |
1,444 |
$0.00 |
| 97150 |
|
671 |
161 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
42 |
42 |
$0.00 |
| H2027 |
Psychoed svc, per 15 min |
367 |
189 |
$0.00 |
| 99490 |
Ccm add 20min |
69 |
48 |
$0.00 |
| H0034 |
Med trng & support per 15min |
97 |
82 |
$0.00 |
| 80305 |
|
82 |
64 |
$0.00 |
| 99411 |
|
147 |
65 |
$0.00 |
| 90836 |
|
36 |
27 |
$0.00 |
| H0005 |
Alcohol and/or drug services |
53 |
33 |
$0.00 |
| 99408 |
|
18 |
13 |
$0.00 |
| H2011 |
Crisis interven svc, 15 min |
16 |
13 |
$0.00 |
| H2015 |
Comp comm supp svc, 15 min |
42 |
30 |
$0.00 |
| T1016 |
Case management |
1,124 |
513 |
$0.00 |
| 98962 |
|
891 |
302 |
$0.00 |
| Q3014 |
Telehealth facility fee |
1,958 |
1,464 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
1,492 |
1,406 |
$0.00 |
| 99214 |
|
769 |
664 |
$0.00 |
| 86580 |
|
963 |
605 |
$0.00 |
| 99213 |
|
911 |
785 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
99 |
84 |
$0.00 |
| 97535 |
|
364 |
176 |
$0.00 |
| H0049 |
Alcohol/drug screening |
21 |
16 |
$0.00 |
| 99407 |
|
80 |
45 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
41 |
35 |
$0.00 |
| T1014 |
Telehealth transmit, per min |
18 |
14 |
$0.00 |
| 99406 |
|
94 |
69 |
$0.00 |