| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Alcohol and/or drug outreach |
199,366 |
195,959 |
$67.66M |
| T2033 |
Res, nos waiver per diem |
102,348 |
3,447 |
$30.46M |
| H0039 |
Asser com tx face-face/15min |
9,066 |
8,748 |
$14.18M |
| H2022 |
Com wrap-around sv, per diem |
44,934 |
1,493 |
$13.39M |
| H0040 |
Assert comm tx pgm per diem |
62,998 |
6,270 |
$12.60M |
| T1017 |
Targeted case management |
29,420 |
29,334 |
$10.15M |
| 90837 |
|
47,640 |
29,805 |
$5.45M |
| H0035 |
Mh partial hosp tx under 24h |
47,448 |
4,172 |
$4.50M |
| H2017 |
Psysoc rehab svc, per 15 min |
100,438 |
8,110 |
$4.44M |
| H2011 |
Crisis interven svc, 15 min |
6,340 |
3,636 |
$3.82M |
| H0046 |
Mental health service, nos |
27,430 |
4,592 |
$2.82M |
| H0010 |
Alcohol and/or drug services |
6,335 |
380 |
$2.28M |
| H2016 |
Comp comm supp svc, per diem |
20,112 |
1,879 |
$2.27M |
| H2012 |
Behav hlth day treat, per hr |
10,258 |
3,001 |
$1.92M |
| 99214 |
|
23,979 |
21,874 |
$1.74M |
| H2018 |
Psysoc rehab svc, per diem |
2,273 |
403 |
$1.72M |
| T2022 |
Case management, per month |
12,578 |
12,134 |
$1.70M |
| H0036 |
Comm psy face-face per 15min |
7,275 |
2,933 |
$1.37M |
| H2019 |
Ther behav svc, per 15 min |
4,690 |
889 |
$1.36M |
| T2021 |
Day habil waiver per 15 min |
18,417 |
1,628 |
$1.35M |
| T2023 |
Targeted case mgmt per month |
3,745 |
3,673 |
$1.12M |
| H0006 |
Alcohol and/or drug services |
4,679 |
4,450 |
$1.09M |
| 90791 |
|
6,575 |
6,385 |
$857K |
| 99213 |
|
18,400 |
16,754 |
$807K |
| T2003 |
N-et; encounter/trip |
35,979 |
2,325 |
$578K |
| S9485 |
Crisis intervention mental h |
580 |
540 |
$554K |
| H0032 |
Mh svc plan dev by non-md |
5,572 |
4,638 |
$400K |
| 90834 |
|
4,300 |
3,335 |
$367K |
| 90792 |
|
2,267 |
2,175 |
$335K |
| S0215 |
Nonemerg transp mileage |
11,279 |
1,454 |
$325K |
| T1027 |
Family training & counseling |
2,932 |
1,645 |
$320K |
| S9482 |
Family stabilization 15 min |
1,437 |
398 |
$273K |
| 90853 |
|
11,469 |
4,664 |
$262K |
| G9012 |
Other specified case mgmt |
901 |
874 |
$219K |
| T2034 |
Crisis interven waiver/diem |
1,801 |
655 |
$207K |
| 90832 |
|
3,004 |
2,462 |
$190K |
| 80305 |
|
11,168 |
8,065 |
$126K |
| Q3014 |
Telehealth facility fee |
4,678 |
4,326 |
$85K |
| S9484 |
Crisis intervention per hour |
649 |
106 |
$75K |
| 99215 |
Prolong outpt/office vis |
686 |
647 |
$69K |
| S0201 |
Partial hospitalization serv |
89 |
12 |
$44K |
| A0120 |
Noner transport mini-bus |
6,850 |
948 |
$44K |
| T1023 |
Program intake assessment |
553 |
484 |
$41K |
| H0015 |
Alcohol and/or drug services |
147 |
26 |
$39K |
| 99212 |
|
1,181 |
1,134 |
$35K |
| 96372 |
|
2,911 |
2,452 |
$33K |
| H0031 |
Mh health assess by non-md |
547 |
506 |
$31K |
| T1012 |
Alcohol/substance abuse skil |
1,058 |
476 |
$24K |
| 99509 |
|
346 |
314 |
$17K |
| 90847 |
|
126 |
86 |
$12K |
| 99211 |
|
855 |
806 |
$12K |
| T1028 |
Home environment assessment |
109 |
89 |
$8K |
| S9445 |
Pt education noc individ |
436 |
247 |
$6K |
| A0130 |
Noner transport wheelch van |
92 |
15 |
$4K |
| 90889 |
|
13 |
13 |
$3K |
| H0014 |
Alcohol and/or drug services |
14 |
13 |
$2K |
| 99417 |
Prolong home eval add 15m |
13 |
12 |
$224.78 |