| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management |
63,373 |
5,024 |
$955K |
| H2014 |
Skills train and dev, 15 min |
6,441 |
1,048 |
$223K |
| H2027 |
Psychoed svc, per 15 min |
9,732 |
1,811 |
$181K |
| H0038 |
Self-help/peer svc per 15min |
7,295 |
1,791 |
$143K |
| 99214 |
|
3,140 |
2,476 |
$38K |
| H0031 |
Mh health assess by non-md |
464 |
173 |
$30K |
| H0025 |
Alcohol and/or drug preventi |
6,813 |
895 |
$27K |
| 99215 |
Prolong outpt/office vis |
814 |
579 |
$24K |
| J2426 |
Inj, invega sustenna, 1 mg |
570 |
243 |
$19K |
| T1019 |
Personal care ser per 15 min |
8,382 |
1,681 |
$9K |
| S5110 |
Family homecare training 15m |
3,563 |
611 |
$9K |
| H0004 |
Alcohol and/or drug services |
390 |
131 |
$7K |
| 99212 |
|
3,140 |
1,678 |
$3K |
| 99211 |
|
2,049 |
983 |
$3K |
| T1002 |
Rn services up to 15 minutes |
8,939 |
3,270 |
$2K |
| 96372 |
|
6,311 |
2,897 |
$2K |
| 90837 |
|
637 |
283 |
$2K |
| H2025 |
Supp maint employ, 15 min |
2,612 |
460 |
$1K |
| H0034 |
Med trng & support per 15min |
27 |
15 |
$57.94 |
| A0160 |
Noner transport case worker |
162 |
111 |
$0.00 |
| 80061 |
|
217 |
84 |
$0.00 |
| 84146 |
|
58 |
15 |
$0.00 |
| J1944 |
Aripiprazole lauroxil 1 mg |
51 |
14 |
$0.00 |
| 93005 |
|
14 |
14 |
$0.00 |
| 85025 |
|
200 |
76 |
$0.00 |
| 36415 |
|
347 |
130 |
$0.00 |
| 83036 |
|
214 |
82 |
$0.00 |
| 82746 |
|
195 |
69 |
$0.00 |
| 80053 |
|
220 |
84 |
$0.00 |
| 82607 |
|
194 |
69 |
$0.00 |
| 84443 |
|
220 |
86 |
$0.00 |
| 99443 |
|
14 |
13 |
$0.00 |