| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0045 |
Respite not-in-home per diem |
102 |
12 |
$64K |
| H0004 |
Alcohol and/or drug services |
7,592 |
4,479 |
$27K |
| 90837 |
|
8,043 |
4,690 |
$23K |
| H0005 |
Alcohol and/or drug services |
4,176 |
1,596 |
$20K |
| T1023 |
Program intake assessment |
2,571 |
2,444 |
$18K |
| 99214 |
|
5,694 |
4,518 |
$12K |
| 90847 |
|
3,655 |
2,362 |
$9K |
| 90791 |
|
1,392 |
1,316 |
$6K |
| T1016 |
Case management |
2,012 |
865 |
$4K |
| 90834 |
|
1,567 |
709 |
$4K |
| 99213 |
|
2,909 |
2,153 |
$3K |
| H0031 |
Mh health assess by non-md |
405 |
391 |
$3K |
| H0006 |
Alcohol and/or drug services |
1,544 |
971 |
$2K |
| H0034 |
Med trng & support per 15min |
1,017 |
552 |
$1K |
| H0001 |
Alcohol and/or drug assess |
39 |
36 |
$799.10 |
| H0032 |
Mh svc plan dev by non-md |
236 |
209 |
$599.29 |
| H0038 |
Self-help/peer svc per 15min |
624 |
277 |
$406.56 |
| H0039 |
Asser com tx face-face/15min |
543 |
207 |
$343.36 |
| 90792 |
|
30 |
24 |
$140.94 |
| 90846 |
|
67 |
41 |
$92.69 |
| H2014 |
Skills train and dev, 15 min |
1,259 |
398 |
$67.52 |
| T1020 |
Personal care ser per diem |
404 |
13 |
$0.00 |
| 90853 |
|
221 |
68 |
$0.00 |
| 90832 |
|
59 |
43 |
$0.00 |
| 99212 |
|
147 |
144 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
88 |
43 |
$0.00 |
| G0176 |
Opps/php/iop; activity thrpy |
17 |
16 |
$0.00 |