| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
63,018 |
6,110 |
$896K |
| H2014 |
Skills train and dev, 15 min |
10,341 |
2,806 |
$447K |
| H0004 |
Alcohol and/or drug services |
8,918 |
2,667 |
$374K |
| H0038 |
Self-help/peer svc per 15min |
6,277 |
1,889 |
$152K |
| 99215 |
Prolong outpt/office vis |
4,039 |
3,341 |
$116K |
| H2027 |
Psychoed svc, per 15 min |
3,453 |
1,200 |
$69K |
| 99214 |
|
1,451 |
1,145 |
$52K |
| T1002 |
Rn services up to 15 minutes |
23,504 |
4,740 |
$38K |
| H0034 |
Med trng & support per 15min |
11,565 |
925 |
$31K |
| H0025 |
Alcohol and/or drug preventi |
1,023 |
274 |
$16K |
| T1019 |
Personal care ser per 15 min |
1,553 |
750 |
$11K |
| 96372 |
|
5,538 |
2,829 |
$4K |
| 99212 |
|
5,072 |
3,406 |
$3K |
| 99211 |
|
389 |
316 |
$3K |
| 80053 |
|
324 |
223 |
$656.83 |
| 85025 |
|
3,154 |
1,720 |
$236.07 |
| G0463 |
Hospital outpt clinic visit |
75 |
57 |
$0.00 |
| 36415 |
|
3,392 |
1,793 |
$0.00 |
| 83036 |
|
26 |
25 |
$0.00 |
| 90471 |
|
22 |
12 |
$0.00 |
| 84443 |
|
14 |
13 |
$0.00 |
| A0110 |
Nonemergency transport bus |
1,031 |
497 |
$0.00 |
| T2003 |
N-et; encounter/trip |
663 |
209 |
$0.00 |
| 93005 |
|
82 |
61 |
$0.00 |
| 93010 |
|
15 |
14 |
$0.00 |
| H0031 |
Mh health assess by non-md |
43 |
27 |
$0.00 |
| 90682 |
|
48 |
29 |
$0.00 |
| 80061 |
|
13 |
12 |
$0.00 |