| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Res, nos waiver per diem |
52,757 |
1,906 |
$12.12M |
| T2025 |
Waiver service, nos |
149,834 |
7,972 |
$10.20M |
| H2017 |
Psysoc rehab svc, per 15 min |
59,176 |
13,095 |
$3.81M |
| 90837 |
|
14,911 |
11,381 |
$1.42M |
| 99214 |
|
17,417 |
15,878 |
$1.42M |
| H0031 |
Mh health assess by non-md |
12,859 |
9,692 |
$1.20M |
| H0038 |
Self-help/peer svc per 15min |
17,275 |
2,070 |
$1.14M |
| 90834 |
|
15,189 |
12,367 |
$1.09M |
| T1016 |
Case management |
17,508 |
9,360 |
$1.07M |
| H0032 |
Mh svc plan dev by non-md |
10,889 |
10,084 |
$950K |
| 90833 |
|
13,649 |
12,259 |
$923K |
| 90792 |
|
6,693 |
6,109 |
$866K |
| 90832 |
|
16,238 |
12,712 |
$661K |
| 99213 |
|
9,418 |
8,627 |
$555K |
| H2015 |
Comp comm supp svc, 15 min |
4,592 |
3,022 |
$237K |
| T1002 |
Rn services up to 15 minutes |
3,408 |
2,357 |
$218K |
| T1001 |
Nursing assessment/evaluatn |
3,206 |
2,600 |
$192K |
| 96372 |
|
8,470 |
7,192 |
$178K |
| 99215 |
Prolong outpt/office vis |
1,066 |
979 |
$168K |
| 99212 |
|
2,805 |
2,615 |
$123K |
| T2028 |
Special supply, nos waiver |
549 |
349 |
$53K |
| T2017 |
Habil res waiver 15 min |
1,040 |
40 |
$49K |
| T1003 |
Lpn/lvn services up to 15min |
474 |
309 |
$46K |
| 90847 |
|
628 |
584 |
$38K |
| H0004 |
Alcohol and/or drug services |
923 |
454 |
$21K |
| 90846 |
|
323 |
313 |
$16K |
| H2025 |
Supp maint employ, 15 min |
671 |
218 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
61 |
31 |
$4K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$4K |
| 99232 |
|
78 |
33 |
$4K |
| 99211 |
|
282 |
232 |
$3K |
| H0015 |
Alcohol and/or drug services |
351 |
41 |
$2K |
| 90785 |
|
754 |
570 |
$302.30 |
| 96127 |
|
20 |
20 |
$165.20 |
| 90791 |
|
12 |
12 |
$0.00 |