| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
|
25,090 |
1,796 |
$5.50M |
| 90834 |
|
38,187 |
21,436 |
$3.41M |
| T1017 |
Targeted case management |
35,543 |
10,922 |
$3.21M |
| H0004 |
Alcohol and/or drug services |
7,121 |
1,147 |
$1.47M |
| 99211 |
|
15,552 |
14,314 |
$1.06M |
| 99213 |
|
11,149 |
10,392 |
$1.01M |
| 90832 |
|
20,683 |
13,742 |
$957K |
| H0036 |
Comm psy face-face per 15min |
9,006 |
1,350 |
$850K |
| 90792 |
|
3,515 |
3,454 |
$715K |
| 97155 |
|
5,180 |
1,980 |
$630K |
| 90837 |
|
4,134 |
3,962 |
$426K |
| T1016 |
Case management |
4,347 |
1,836 |
$410K |
| 90847 |
|
5,240 |
3,193 |
$405K |
| H2021 |
Com wrap-around sv, 15 min |
96,881 |
16,067 |
$382K |
| H2019 |
Ther behav svc, per 15 min |
40,298 |
14,921 |
$299K |
| 90853 |
|
5,534 |
627 |
$250K |
| 99212 |
|
2,807 |
2,663 |
$226K |
| H0046 |
Mental health service, nos |
2,192 |
302 |
$211K |
| H0035 |
Mh partial hosp tx under 24h |
1,939 |
155 |
$193K |
| 97151 |
|
1,318 |
708 |
$176K |
| W0016 |
|
1,393 |
547 |
$127K |
| 97154 |
|
319 |
25 |
$77K |
| 90846 |
|
963 |
860 |
$59K |
| H0034 |
Med trng & support per 15min |
253 |
242 |
$11K |
| H0031 |
Mh health assess by non-md |
813 |
808 |
$10K |
| 90791 |
|
30 |
30 |
$5K |
| 99214 |
|
53 |
53 |
$5K |
| H0038 |
Self-help/peer svc per 15min |
32 |
13 |
$4K |
| 97156 |
|
16 |
12 |
$594.48 |