| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
18,998 |
7,506 |
$632K |
| S9480 |
Intensive outpatient psychia |
4,824 |
827 |
$501K |
| H0015 |
Alcohol and/or drug services |
4,239 |
670 |
$286K |
| 99214 |
|
3,844 |
3,180 |
$197K |
| 90833 |
|
3,518 |
2,849 |
$101K |
| H0047 |
Alcohol/drug abuse svc nos |
932 |
838 |
$99K |
| Q3014 |
Telehealth facility fee |
3,168 |
2,284 |
$57K |
| 90837 |
|
752 |
461 |
$56K |
| 90791 |
|
396 |
372 |
$46K |
| 99215 |
Prolong outpt/office vis |
720 |
560 |
$44K |
| G0482 |
Drug test def 15-21 classes |
420 |
310 |
$41K |
| 90792 |
|
585 |
479 |
$40K |
| 80307 |
|
818 |
603 |
$35K |
| 90836 |
|
479 |
409 |
$21K |
| H0001 |
Alcohol and/or drug assess |
375 |
278 |
$21K |
| 90853 |
|
824 |
351 |
$15K |
| H0002 |
Alcohol and/or drug screenin |
673 |
593 |
$12K |
| 90832 |
|
159 |
127 |
$8K |
| 90834 |
|
71 |
50 |
$5K |
| 99213 |
|
144 |
106 |
$4K |
| 99205 |
Prolong outpt/office vis |
139 |
114 |
$4K |
| H0005 |
Alcohol and/or drug services |
533 |
178 |
$4K |
| 80306 |
|
387 |
263 |
$2K |
| 82075 |
|
499 |
359 |
$2K |
| G0444 |
Depression screen annual |
267 |
202 |
$2K |
| 99490 |
Ccm add 20min |
72 |
60 |
$2K |
| H2011 |
Crisis interven svc, 15 min |
47 |
28 |
$1K |
| 96372 |
|
70 |
67 |
$1K |
| H0034 |
Med trng & support per 15min |
88 |
53 |
$679.20 |
| H0010 |
Alcohol and/or drug services |
166 |
160 |
$625.00 |
| 80305 |
|
239 |
153 |
$224.40 |
| 81025 |
|
48 |
28 |
$51.84 |
| 86580 |
|
44 |
40 |
$8.34 |
| 3725F |
|
266 |
201 |
$0.00 |