| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
1,772,287 |
496,585 |
$26.84M |
| H0004 |
Alcohol and/or drug services |
319,136 |
190,468 |
$17.08M |
| H0031 |
Mh health assess by non-md |
67,951 |
64,884 |
$5.79M |
| 99214 |
|
105,889 |
97,777 |
$4.41M |
| H2014 |
Skills train and dev, 15 min |
37,348 |
18,881 |
$1.50M |
| 90792 |
|
13,022 |
12,463 |
$1.39M |
| 99213 |
|
44,310 |
41,657 |
$1.35M |
| 90837 |
|
12,829 |
8,076 |
$1.06M |
| H0002 |
Alcohol and/or drug screenin |
34,620 |
32,965 |
$417K |
| 99442 |
|
4,870 |
4,560 |
$198K |
| 99443 |
|
3,312 |
3,127 |
$191K |
| S5110 |
Family homecare training 15m |
4,121 |
2,190 |
$162K |
| H2027 |
Psychoed svc, per 15 min |
6,179 |
3,820 |
$155K |
| T1013 |
Sign lang/oral interpreter |
17,088 |
8,159 |
$115K |
| A0160 |
Noner transport case worker |
19,979 |
12,700 |
$93K |
| 90834 |
|
1,305 |
1,123 |
$73K |
| 90791 |
|
466 |
436 |
$54K |
| 90832 |
|
1,176 |
894 |
$54K |
| T1002 |
Rn services up to 15 minutes |
2,514 |
2,152 |
$29K |
| 99203 |
|
331 |
307 |
$22K |
| T1003 |
Lpn/lvn services up to 15min |
1,538 |
1,379 |
$9K |
| 99212 |
|
396 |
370 |
$7K |
| S0215 |
Nonemerg transp mileage |
3,311 |
1,526 |
$7K |
| H0025 |
Alcohol and/or drug preventi |
330 |
230 |
$5K |
| H0038 |
Self-help/peer svc per 15min |
679 |
390 |
$4K |
| 90471 |
|
258 |
227 |
$4K |
| A0120 |
Noner transport mini-bus |
3,360 |
1,558 |
$4K |
| 90686 |
|
291 |
231 |
$2K |
| 99215 |
Prolong outpt/office vis |
414 |
407 |
$2K |
| 36415 |
|
729 |
655 |
$2K |
| 90674 |
|
81 |
56 |
$1K |
| 99202 |
|
35 |
31 |
$1K |
| 90460 |
|
174 |
125 |
$1K |
| 99395 |
|
13 |
12 |
$1K |
| 99394 |
|
12 |
12 |
$1K |
| 90847 |
|
14 |
12 |
$853.83 |
| 99441 |
|
16 |
16 |
$724.04 |
| 93005 |
|
100 |
89 |
$620.64 |
| 0012A |
|
18 |
16 |
$610.00 |
| 92551 |
|
100 |
90 |
$571.68 |
| 0011A |
|
16 |
14 |
$510.00 |
| A0110 |
Nonemergency transport bus |
1,602 |
1,209 |
$473.10 |
| 81002 |
|
147 |
139 |
$453.46 |
| 90688 |
|
49 |
42 |
$404.80 |
| 96372 |
|
616 |
492 |
$211.08 |
| 81025 |
|
17 |
15 |
$129.19 |
| 99173 |
|
62 |
50 |
$85.47 |
| 90687 |
|
16 |
13 |
$10.81 |
| 1036F |
|
990 |
834 |
$0.00 |
| T1019 |
Personal care ser per 15 min |
21 |
16 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
246 |
216 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
136 |
95 |
$0.00 |
| S9986 |
Not medically necessary svc |
25 |
25 |
$0.00 |