| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
|
68,876 |
40,255 |
$7.16M |
| H0040 |
Assert comm tx pgm per diem |
3,377 |
3,375 |
$6.53M |
| 90834 |
|
27,657 |
16,069 |
$4.00M |
| H2018 |
Psysoc rehab svc, per diem |
861 |
860 |
$2.87M |
| 99212 |
|
19,865 |
18,403 |
$2.22M |
| H0004 |
Alcohol and/or drug services |
8,042 |
2,133 |
$925K |
| 99213 |
|
8,400 |
7,958 |
$905K |
| 90791 |
|
5,002 |
4,809 |
$870K |
| 90792 |
|
1,652 |
1,644 |
$404K |
| H0036 |
Comm psy face-face per 15min |
4,350 |
1,253 |
$326K |
| T2022 |
Case management, per month |
484 |
484 |
$227K |
| H2019 |
Ther behav svc, per 15 min |
395 |
395 |
$225K |
| 90853 |
|
2,069 |
824 |
$109K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,694 |
495 |
$106K |
| H0038 |
Self-help/peer svc per 15min |
1,195 |
521 |
$100K |
| 99051 |
|
6,262 |
3,974 |
$80K |
| H2010 |
Comprehensive med svc 15 min |
969 |
832 |
$74K |
| 90882 |
|
946 |
729 |
$64K |
| 99214 |
|
470 |
448 |
$57K |
| 99403 |
|
738 |
737 |
$57K |
| H2011 |
Crisis interven svc, 15 min |
539 |
441 |
$54K |
| 90833 |
|
837 |
753 |
$50K |
| 90847 |
|
194 |
141 |
$46K |
| 99402 |
|
875 |
838 |
$45K |
| T1015 |
Clinic service |
135 |
135 |
$44K |
| 90846 |
|
300 |
260 |
$33K |
| A0160 |
Noner transport case worker |
2,448 |
1,130 |
$32K |
| G0396 |
Alcohol/subs interv 15-30mn |
48 |
34 |
$6K |
| 99215 |
Prolong outpt/office vis |
52 |
48 |
$5K |
| 99211 |
|
124 |
117 |
$1K |
| 99401 |
|
20 |
20 |
$942.30 |
| Q3014 |
Telehealth facility fee |
94 |
90 |
$225.00 |