| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
387,161 |
13,725 |
$39.63M |
| 90837 |
|
217,283 |
114,792 |
$36.89M |
| H2017 |
Psysoc rehab svc, per 15 min |
273,766 |
28,974 |
$25.46M |
| T1017 |
Targeted case management |
340,182 |
89,852 |
$24.62M |
| H0018 |
Alcohol and/or drug services |
168,055 |
7,150 |
$23.07M |
| H2019 |
Ther behav svc, per 15 min |
145,990 |
35,908 |
$20.93M |
| H2013 |
Psych hlth fac svc, per diem |
30,219 |
1,346 |
$12.92M |
| 99214 |
|
98,980 |
79,948 |
$12.54M |
| 90791 |
|
36,732 |
32,232 |
$12.29M |
| H2014 |
Skills train and dev, 15 min |
89,566 |
21,460 |
$9.47M |
| H0038 |
Self-help/peer svc per 15min |
81,118 |
11,817 |
$9.35M |
| 80307 |
|
172,126 |
28,241 |
$7.84M |
| 90853 |
|
139,866 |
30,499 |
$7.66M |
| H2027 |
Psychoed svc, per 15 min |
20,556 |
1,957 |
$7.57M |
| T1001 |
Nursing assessment/evaluatn |
85,725 |
41,269 |
$6.40M |
| G0481 |
Drug test def 8-14 classes |
100,838 |
21,505 |
$5.02M |
| 90834 |
|
26,783 |
19,285 |
$3.90M |
| H0040 |
Assert comm tx pgm per diem |
3,858 |
2,559 |
$3.38M |
| 99213 |
|
23,621 |
16,741 |
$3.34M |
| H0046 |
Mental health service, nos |
18,630 |
6,662 |
$3.27M |
| S5150 |
Unskilled respite care /15m |
33,511 |
3,329 |
$3.10M |
| 90847 |
|
12,916 |
8,505 |
$2.98M |
| H2036 |
A/d tx program, per diem |
15,754 |
727 |
$2.89M |
| 90832 |
|
30,807 |
21,672 |
$2.83M |
| H0006 |
Alcohol and/or drug services |
44,794 |
11,681 |
$1.83M |
| 99309 |
|
11,320 |
7,961 |
$1.26M |
| 90792 |
|
2,839 |
2,458 |
$572K |
| 97153 |
|
3,478 |
415 |
$434K |
| 99308 |
|
2,629 |
1,985 |
$341K |
| 96372 |
|
10,278 |
7,979 |
$261K |
| 90846 |
|
1,615 |
1,264 |
$192K |
| H2000 |
Comp multidisipln evaluation |
460 |
367 |
$165K |
| 99211 |
|
3,004 |
2,026 |
$152K |
| 96130 |
|
226 |
200 |
$128K |
| H0031 |
Mh health assess by non-md |
926 |
909 |
$115K |
| T1013 |
Sign lang/oral interpreter |
890 |
639 |
$110K |
| 96136 |
|
188 |
176 |
$110K |
| 99212 |
|
1,590 |
1,296 |
$104K |
| 99080 |
|
1,673 |
1,503 |
$103K |
| 97155 |
|
723 |
290 |
$87K |
| 82465 |
|
1,154 |
807 |
$14K |
| 99204 |
|
210 |
198 |
$13K |
| T2002 |
N-et; per diem |
1,704 |
674 |
$13K |
| H2021 |
Com wrap-around sv, 15 min |
582 |
224 |
$12K |
| 85025 |
|
3,909 |
1,991 |
$11K |
| 90839 |
|
56 |
40 |
$11K |
| 96131 |
|
224 |
198 |
$8K |
| 99354 |
|
300 |
249 |
$8K |
| 85048 |
|
2,532 |
1,801 |
$5K |
| 99490 |
Ccm add 20min |
135 |
133 |
$4K |
| Q3014 |
Telehealth facility fee |
4,468 |
2,734 |
$4K |
| 96137 |
|
162 |
151 |
$3K |
| 97530 |
|
30 |
13 |
$2K |
| 97151 |
|
27 |
25 |
$2K |
| 90686 |
|
54 |
52 |
$1K |
| S9981 |
Med record copy admin |
168 |
168 |
$1K |
| 90658 |
|
35 |
32 |
$698.89 |
| 86353 |
|
4,423 |
2,397 |
$267.44 |
| 84443 |
|
858 |
497 |
$165.16 |
| 36415 |
|
211 |
185 |
$133.93 |
| 82040 |
|
440 |
330 |
$68.44 |
| 85009 |
|
2,098 |
1,425 |
$66.86 |
| 83036 |
|
86 |
63 |
$5.39 |
| 83516 |
|
4,450 |
2,401 |
$0.00 |
| 85004 |
|
2,098 |
1,425 |
$0.00 |
| 85049 |
|
2,532 |
1,801 |
$0.00 |
| 84155 |
|
463 |
344 |
$0.00 |
| 82374 |
|
460 |
345 |
$0.00 |
| 85041 |
|
2,532 |
1,801 |
$0.00 |
| 82947 |
|
465 |
345 |
$0.00 |
| 85014 |
|
2,556 |
1,801 |
$0.00 |
| 82565 |
|
466 |
344 |
$0.00 |
| 84450 |
|
463 |
344 |
$0.00 |
| 82247 |
|
465 |
345 |
$0.00 |
| 84460 |
|
465 |
345 |
$0.00 |
| 84060 |
|
1,099 |
796 |
$0.00 |
| 84295 |
|
73 |
55 |
$0.00 |
| 80050 |
|
458 |
397 |
$0.00 |
| 80053 |
|
1,108 |
790 |
$0.00 |
| 84132 |
|
76 |
55 |
$0.00 |
| 84540 |
|
1,096 |
797 |
$0.00 |
| 82330 |
|
1,086 |
794 |
$0.00 |
| 82435 |
|
458 |
344 |
$0.00 |
| 85018 |
|
2,560 |
1,801 |
$0.00 |
| 90471 |
|
95 |
85 |
$0.00 |