| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
687,152 |
34,878 |
$59.94M |
| T1017 |
Targeted case management |
40,854 |
31,692 |
$11.67M |
| T1016 |
Case management |
49,368 |
34,718 |
$9.91M |
| H0043 |
Supported housing, per diem |
27,640 |
1,434 |
$7.47M |
| T1005 |
Respite care service 15 min |
71,041 |
11,111 |
$6.49M |
| T2025 |
Waiver service, nos |
67,959 |
67,926 |
$3.34M |
| H2014 |
Skills train and dev, 15 min |
50,145 |
3,974 |
$3.14M |
| 97153 |
|
14,946 |
949 |
$2.66M |
| 0365T |
|
7,081 |
463 |
$1.27M |
| H2023 |
Supported employ, per 15 min |
27,964 |
3,072 |
$1.03M |
| 97155 |
|
3,976 |
936 |
$674K |
| H0032 |
Mh svc plan dev by non-md |
3,607 |
1,578 |
$618K |
| S0280 |
Medical home, initial plan |
1,774 |
1,217 |
$602K |
| H2025 |
Supp maint employ, 15 min |
11,341 |
1,375 |
$545K |
| T2027 |
Spec childcare waiver 15 min |
4,582 |
129 |
$530K |
| A0080 |
Noninterest escort in non er |
47,539 |
5,068 |
$497K |
| T2003 |
N-et; encounter/trip |
7,207 |
601 |
$481K |
| 90834 |
|
4,612 |
2,169 |
$470K |
| H0031 |
Mh health assess by non-md |
1,373 |
1,355 |
$461K |
| S5151 |
Unskilled respitecare /diem |
1,301 |
652 |
$305K |
| 90847 |
|
2,182 |
871 |
$261K |
| 0364T |
|
7,100 |
463 |
$205K |
| 0369T |
|
1,718 |
458 |
$172K |
| 90837 |
|
782 |
349 |
$87K |
| 99213 |
|
637 |
612 |
$78K |
| 0368T |
|
1,737 |
457 |
$68K |
| 0370T |
|
381 |
249 |
$47K |
| 97156 |
|
108 |
90 |
$7K |