| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2014 |
Skills train and dev, 15 min |
168,865 |
72,960 |
$25.75M |
| H2017 |
Psysoc rehab svc, per 15 min |
121,808 |
34,826 |
$19.81M |
| 99214 |
|
257,813 |
241,969 |
$14.59M |
| T1017 |
Targeted case management |
83,217 |
38,260 |
$8.21M |
| H2016 |
Comp comm supp svc, per diem |
52,523 |
1,769 |
$4.42M |
| 99213 |
|
57,197 |
52,943 |
$2.22M |
| 90792 |
|
11,758 |
11,249 |
$2.03M |
| 92507 |
|
11,602 |
5,622 |
$1.26M |
| T1027 |
Family training & counseling |
9,771 |
4,708 |
$1.07M |
| 97530 |
|
8,280 |
4,035 |
$986K |
| M0123 |
|
10,928 |
363 |
$832K |
| 90837 |
|
5,056 |
3,044 |
$623K |
| 97153 |
|
8,259 |
694 |
$622K |
| M0122 |
|
8,483 |
281 |
$616K |
| S5150 |
Unskilled respite care /15m |
3,333 |
358 |
$396K |
| 97112 |
|
3,111 |
1,446 |
$339K |
| M0360 |
|
2,757 |
252 |
$320K |
| 96372 |
|
25,429 |
20,857 |
$317K |
| T2016 |
Habil res waiver per diem |
2,708 |
214 |
$306K |
| M0240 |
Casiri and imdev repeat |
1,700 |
250 |
$210K |
| T2020 |
Day habil waiver per diem |
4,990 |
315 |
$180K |
| 90834 |
|
1,747 |
1,324 |
$110K |
| H0005 |
Alcohol and/or drug services |
1,977 |
407 |
$107K |
| T1002 |
Rn services up to 15 minutes |
2,581 |
1,334 |
$103K |
| D0120 |
|
172 |
150 |
$91K |
| 92523 |
|
501 |
487 |
$89K |
| 97803 |
|
1,162 |
1,083 |
$44K |
| M0116 |
|
1,104 |
72 |
$38K |
| M0299 |
|
776 |
471 |
$34K |
| H2032 |
Activity therapy, per 15 min |
461 |
55 |
$31K |
| H0004 |
Alcohol and/or drug services |
329 |
179 |
$31K |
| 99212 |
|
1,210 |
1,097 |
$21K |
| 97166 |
|
166 |
154 |
$17K |
| H2011 |
Crisis interven svc, 15 min |
75 |
70 |
$15K |
| 90847 |
|
216 |
107 |
$14K |
| H2015 |
Comp comm supp svc, 15 min |
134 |
49 |
$13K |
| 96130 |
|
303 |
247 |
$13K |
| H0038 |
Self-help/peer svc per 15min |
596 |
159 |
$10K |
| 92526 |
|
79 |
37 |
$10K |
| H2019 |
Ther behav svc, per 15 min |
291 |
96 |
$8K |
| 96137 |
|
73 |
59 |
$6K |
| 90853 |
|
276 |
121 |
$4K |
| 96131 |
|
53 |
52 |
$4K |
| 97162 |
|
44 |
42 |
$4K |
| M0315 |
|
91 |
84 |
$4K |
| H0034 |
Med trng & support per 15min |
32 |
25 |
$2K |
| 96136 |
|
74 |
59 |
$2K |
| 99215 |
Prolong outpt/office vis |
19 |
19 |
$1K |
| 97155 |
|
53 |
12 |
$568.62 |
| 99406 |
|
1,167 |
1,069 |
$347.05 |
| 83036 |
|
173 |
145 |
$340.17 |
| 80305 |
|
19 |
13 |
$164.58 |
| 90674 |
|
12 |
12 |
$5.00 |
| 36415 |
|
886 |
621 |
$0.00 |
| 82962 |
|
311 |
299 |
$0.00 |
| T1012 |
Alcohol/substance abuse skil |
26 |
12 |
$0.00 |