| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
384,932 |
216,809 |
$6.28M |
| H2010 |
Comprehensive med svc 15 min |
423,940 |
35,984 |
$3.93M |
| H0004 |
Alcohol and/or drug services |
121,550 |
66,312 |
$3.89M |
| H0031 |
Mh health assess by non-md |
37,403 |
34,634 |
$2.99M |
| H0015 |
Alcohol and/or drug services |
23,466 |
3,699 |
$2.34M |
| H2020 |
Ther behav svc, per diem |
32,029 |
2,573 |
$2.02M |
| 99214 |
|
42,166 |
39,159 |
$1.60M |
| H0020 |
Alcohol and/or drug services |
473,349 |
34,980 |
$1.24M |
| 99213 |
|
12,616 |
11,001 |
$381K |
| H0038 |
Self-help/peer svc per 15min |
19,222 |
11,103 |
$348K |
| H0018 |
Alcohol and/or drug services |
1,832 |
142 |
$322K |
| H2016 |
Comp comm supp svc, per diem |
1,054 |
536 |
$308K |
| 99215 |
Prolong outpt/office vis |
4,066 |
3,784 |
$271K |
| T1003 |
Lpn/lvn services up to 15min |
24,107 |
15,522 |
$269K |
| 90837 |
|
4,222 |
2,792 |
$229K |
| H0001 |
Alcohol and/or drug assess |
11,301 |
10,938 |
$221K |
| H2027 |
Psychoed svc, per 15 min |
6,976 |
3,279 |
$211K |
| 90792 |
|
2,645 |
2,526 |
$203K |
| T1019 |
Personal care ser per 15 min |
11,865 |
1,055 |
$78K |
| S5110 |
Family homecare training 15m |
4,662 |
3,382 |
$54K |
| 99205 |
Prolong outpt/office vis |
394 |
353 |
$43K |
| H0002 |
Alcohol and/or drug screenin |
3,784 |
3,678 |
$42K |
| H2019 |
Ther behav svc, per 15 min |
949 |
468 |
$33K |
| 99212 |
|
1,866 |
1,698 |
$31K |
| 99204 |
|
380 |
349 |
$30K |
| 93000 |
|
1,453 |
1,326 |
$22K |
| H2014 |
Skills train and dev, 15 min |
1,343 |
799 |
$19K |
| S0215 |
Nonemerg transp mileage |
1,963 |
539 |
$17K |
| A0120 |
Noner transport mini-bus |
2,506 |
678 |
$16K |
| H0023 |
Alcohol and/or drug outreach |
1,470 |
1,255 |
$15K |
| H0034 |
Med trng & support per 15min |
1,955 |
1,751 |
$15K |
| H0025 |
Alcohol and/or drug preventi |
3,513 |
3,257 |
$13K |
| 90853 |
|
1,130 |
471 |
$12K |
| H0033 |
Oral med adm direct observe |
607 |
154 |
$10K |
| 99385 |
|
90 |
90 |
$9K |
| 90834 |
|
90 |
66 |
$7K |
| 86580 |
|
1,097 |
794 |
$6K |
| 80305 |
|
1,010 |
844 |
$6K |
| A0110 |
Nonemergency transport bus |
4,706 |
2,415 |
$6K |
| 96372 |
|
752 |
663 |
$4K |
| 94760 |
|
1,821 |
1,664 |
$3K |
| 99000 |
|
752 |
676 |
$3K |
| T1013 |
Sign lang/oral interpreter |
1,852 |
1,188 |
$3K |
| H2011 |
Crisis interven svc, 15 min |
15 |
12 |
$3K |
| 90791 |
|
85 |
84 |
$3K |
| H2025 |
Supp maint employ, 15 min |
414 |
369 |
$3K |
| 90471 |
|
205 |
179 |
$3K |
| 36415 |
|
981 |
950 |
$2K |
| H0046 |
Mental health service, nos |
459 |
29 |
$2K |
| 99354 |
|
71 |
45 |
$2K |
| 99355 |
|
19 |
12 |
$2K |
| 82075 |
|
116 |
104 |
$2K |
| 99203 |
|
33 |
32 |
$2K |
| 99202 |
|
40 |
40 |
$2K |
| 90686 |
|
95 |
83 |
$1K |
| 99211 |
|
102 |
98 |
$1K |
| 99386 |
|
12 |
12 |
$989.02 |
| 99201 |
|
50 |
49 |
$949.02 |
| A6203 |
Composite drsg <= 16 sq in |
182 |
164 |
$506.19 |
| 81002 |
|
251 |
207 |
$411.69 |
| 83036 |
|
61 |
53 |
$402.52 |
| 90656 |
|
35 |
24 |
$281.56 |
| 82947 |
|
12 |
12 |
$33.40 |
| A6453 |
Self-adher band w <3"/yd |
49 |
43 |
$23.85 |
| 80354 |
|
148 |
120 |
$0.00 |
| H0043 |
Supported housing, per diem |
27 |
27 |
$0.00 |