| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
853,102 |
322,447 |
$21.62M |
| H0004 |
Alcohol and/or drug services |
218,753 |
104,301 |
$16.45M |
| H0031 |
Mh health assess by non-md |
48,968 |
46,463 |
$5.85M |
| 99214 |
|
68,049 |
64,105 |
$4.77M |
| H2011 |
Crisis interven svc, 15 min |
49,794 |
35,452 |
$2.84M |
| H2014 |
Skills train and dev, 15 min |
49,763 |
21,121 |
$1.44M |
| 99215 |
Prolong outpt/office vis |
18,228 |
16,886 |
$1.41M |
| 90792 |
|
8,151 |
7,944 |
$1.38M |
| H0038 |
Self-help/peer svc per 15min |
33,281 |
13,769 |
$1.16M |
| S5110 |
Family homecare training 15m |
21,479 |
10,713 |
$913K |
| H0015 |
Alcohol and/or drug services |
4,429 |
912 |
$507K |
| 90833 |
|
7,558 |
7,029 |
$346K |
| H2019 |
Ther behav svc, per 15 min |
1,673 |
446 |
$243K |
| T1002 |
Rn services up to 15 minutes |
3,754 |
2,393 |
$162K |
| S0215 |
Nonemerg transp mileage |
8,598 |
5,086 |
$103K |
| H0034 |
Med trng & support per 15min |
8,640 |
5,543 |
$102K |
| H0023 |
Alcohol and/or drug outreach |
4,888 |
2,457 |
$51K |
| A0120 |
Noner transport mini-bus |
8,622 |
5,005 |
$45K |
| 99213 |
|
1,218 |
1,165 |
$45K |
| H2027 |
Psychoed svc, per 15 min |
577 |
371 |
$29K |
| H2025 |
Supp maint employ, 15 min |
649 |
411 |
$20K |
| T1013 |
Sign lang/oral interpreter |
2,587 |
1,381 |
$14K |
| 90836 |
|
228 |
219 |
$14K |
| 99205 |
Prolong outpt/office vis |
108 |
105 |
$11K |
| A0110 |
Nonemergency transport bus |
1,164 |
564 |
$4K |
| H0002 |
Alcohol and/or drug screenin |
247 |
232 |
$4K |
| 99204 |
|
37 |
36 |
$3K |
| H0025 |
Alcohol and/or drug preventi |
89 |
51 |
$2K |
| 99212 |
|
12 |
12 |
$563.37 |
| A0160 |
Noner transport case worker |
20 |
12 |
$313.50 |
| A0100 |
Nonemergency transport taxi |
191 |
70 |
$0.00 |