| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
1,002,552 |
475,138 |
$35.87M |
| H0018 |
Alcohol and/or drug services |
137,265 |
8,026 |
$32.84M |
| H0004 |
Alcohol and/or drug services |
364,490 |
157,004 |
$21.12M |
| H0031 |
Mh health assess by non-md |
77,406 |
75,603 |
$10.91M |
| H2019 |
Ther behav svc, per 15 min |
89,953 |
5,499 |
$8.19M |
| H2010 |
Comprehensive med svc 15 min |
423,454 |
36,265 |
$4.59M |
| 99214 |
|
62,303 |
57,484 |
$4.27M |
| 99213 |
|
74,528 |
66,991 |
$3.61M |
| H0015 |
Alcohol and/or drug services |
17,264 |
2,861 |
$2.75M |
| 90792 |
|
18,997 |
18,319 |
$2.70M |
| H2027 |
Psychoed svc, per 15 min |
44,055 |
18,469 |
$1.67M |
| H0020 |
Alcohol and/or drug services |
567,449 |
36,452 |
$1.64M |
| 90837 |
|
10,307 |
6,159 |
$1.04M |
| T1003 |
Lpn/lvn services up to 15min |
35,363 |
22,349 |
$829K |
| 99233 |
Prolong inpt eval add15 m |
6,187 |
1,239 |
$674K |
| H0038 |
Self-help/peer svc per 15min |
24,583 |
10,227 |
$526K |
| 99232 |
|
7,100 |
1,507 |
$519K |
| S5110 |
Family homecare training 15m |
23,040 |
15,068 |
$440K |
| H2014 |
Skills train and dev, 15 min |
16,116 |
8,799 |
$281K |
| T1002 |
Rn services up to 15 minutes |
7,709 |
6,949 |
$241K |
| H0023 |
Alcohol and/or drug outreach |
10,476 |
5,687 |
$232K |
| H0001 |
Alcohol and/or drug assess |
6,714 |
4,820 |
$200K |
| 99215 |
Prolong outpt/office vis |
1,467 |
1,372 |
$165K |
| S0215 |
Nonemerg transp mileage |
10,450 |
4,625 |
$141K |
| 90832 |
|
2,168 |
1,864 |
$113K |
| 90834 |
|
1,377 |
1,008 |
$105K |
| A0120 |
Noner transport mini-bus |
10,340 |
4,567 |
$64K |
| H0033 |
Oral med adm direct observe |
3,917 |
736 |
$60K |
| 99231 |
|
1,330 |
597 |
$56K |
| 99238 |
|
832 |
789 |
$55K |
| 99212 |
|
1,462 |
1,354 |
$55K |
| H2025 |
Supp maint employ, 15 min |
2,542 |
2,004 |
$35K |
| 90847 |
|
507 |
354 |
$34K |
| H0025 |
Alcohol and/or drug preventi |
2,348 |
1,804 |
$21K |
| H0002 |
Alcohol and/or drug screenin |
1,020 |
990 |
$21K |
| 99203 |
|
237 |
220 |
$17K |
| T1013 |
Sign lang/oral interpreter |
25,529 |
15,536 |
$15K |
| 90791 |
|
65 |
65 |
$11K |
| 36415 |
|
2,930 |
2,600 |
$11K |
| 99204 |
|
91 |
86 |
$9K |
| A0110 |
Nonemergency transport bus |
4,783 |
2,229 |
$8K |
| 90846 |
|
68 |
50 |
$7K |
| 96372 |
|
440 |
404 |
$6K |
| H2012 |
Behav hlth day treat, per hr |
165 |
24 |
$6K |
| 93000 |
|
437 |
431 |
$6K |
| T1019 |
Personal care ser per 15 min |
884 |
231 |
$5K |
| 99211 |
|
280 |
269 |
$5K |
| H0034 |
Med trng & support per 15min |
438 |
274 |
$4K |
| 99202 |
|
51 |
50 |
$3K |
| 90674 |
|
81 |
77 |
$2K |
| 99201 |
|
44 |
44 |
$2K |
| 99205 |
Prolong outpt/office vis |
19 |
19 |
$2K |
| 90661 |
|
19 |
19 |
$714.98 |
| 90688 |
|
38 |
33 |
$560.76 |
| 83037 |
|
53 |
53 |
$527.90 |
| G0008 |
Admin influenza virus vac |
87 |
84 |
$484.97 |
| 90686 |
|
28 |
24 |
$452.00 |
| 82962 |
|
103 |
88 |
$262.88 |
| G9921 |
No or part scrn nd rng or os |
122 |
122 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
13 |
13 |
$0.00 |
| G9920 |
Scrning perf and negative |
373 |
371 |
$0.00 |
| G2067 |
Med assist tx meth wk |
1,080 |
97 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
19 |
19 |
$0.00 |