| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0043 |
Supported housing, per diem |
371,738 |
12,656 |
$69.63M |
| H2016 |
Comp comm supp svc, per diem |
545,700 |
20,613 |
$52.80M |
| T1020 |
Personal care ser per diem |
545,421 |
20,595 |
$45.09M |
| T1016 |
Case management |
186,811 |
147,328 |
$44.01M |
| T1017 |
Targeted case management |
168,996 |
150,886 |
$42.03M |
| H2015 |
Comp comm supp svc, 15 min |
396,968 |
24,321 |
$30.45M |
| H0032 |
Mh svc plan dev by non-md |
49,456 |
41,145 |
$11.24M |
| H0031 |
Mh health assess by non-md |
21,805 |
21,463 |
$10.43M |
| T1005 |
Respite care service 15 min |
121,073 |
17,878 |
$5.40M |
| 97153 |
|
22,616 |
1,781 |
$4.60M |
| 0365T |
|
13,175 |
912 |
$4.47M |
| T2025 |
Waiver service, nos |
47,449 |
47,430 |
$2.56M |
| H2000 |
Comp multidisipln evaluation |
13,113 |
9,254 |
$1.99M |
| S5111 |
Family homecare train/sessio |
6,597 |
5,334 |
$1.93M |
| 99212 |
|
20,387 |
19,477 |
$1.60M |
| T2023 |
Targeted case mgmt per month |
2,344 |
2,226 |
$1.38M |
| T2027 |
Spec childcare waiver 15 min |
18,280 |
455 |
$1.17M |
| 97155 |
|
6,104 |
1,863 |
$1.03M |
| S5151 |
Unskilled respitecare /diem |
8,456 |
4,410 |
$817K |
| 90837 |
|
3,791 |
2,696 |
$814K |
| T1999 |
Noc retail items andsupplies |
4,617 |
4,362 |
$793K |
| H2014 |
Skills train and dev, 15 min |
14,937 |
678 |
$767K |
| 97151 |
|
2,489 |
1,818 |
$695K |
| 0364T |
|
12,421 |
912 |
$686K |
| T1002 |
Rn services up to 15 minutes |
2,992 |
2,973 |
$657K |
| H0045 |
Respite not-in-home per diem |
4,342 |
1,813 |
$631K |
| H0002 |
Alcohol and/or drug screenin |
998 |
988 |
$613K |
| 0369T |
|
2,839 |
861 |
$609K |
| T1001 |
Nursing assessment/evaluatn |
1,088 |
1,086 |
$495K |
| 90791 |
|
1,375 |
1,334 |
$449K |
| 90834 |
|
2,605 |
2,030 |
$446K |
| 90853 |
|
1,292 |
849 |
$350K |
| 0368T |
|
3,232 |
878 |
$279K |
| 97165 |
|
454 |
426 |
$247K |
| 99214 |
|
2,437 |
2,324 |
$241K |
| 90832 |
|
1,717 |
1,326 |
$235K |
| 90792 |
|
663 |
629 |
$154K |
| H0046 |
Mental health service, nos |
663 |
548 |
$142K |
| 97156 |
|
969 |
730 |
$99K |
| 0370T |
|
493 |
409 |
$83K |
| T2036 |
Camp overnite waiver/session |
667 |
113 |
$82K |
| 97803 |
|
286 |
282 |
$78K |
| E1399 |
Durable medical equipment mi |
193 |
184 |
$64K |
| A0120 |
Noner transport mini-bus |
1,481 |
182 |
$63K |
| 97542 |
|
137 |
125 |
$55K |
| 99213 |
|
440 |
414 |
$42K |
| G0176 |
Opps/php/iop; activity thrpy |
684 |
176 |
$35K |
| H2023 |
Supported employ, per 15 min |
305 |
36 |
$25K |
| T2037 |
Camp day waiver/session |
314 |
25 |
$22K |
| 0359T |
|
45 |
45 |
$19K |
| 99215 |
Prolong outpt/office vis |
88 |
84 |
$18K |
| S0280 |
Medical home, initial plan |
24 |
12 |
$9K |
| S9445 |
Pt education noc individ |
56 |
56 |
$6K |
| 96110 |
|
25 |
25 |
$5K |