| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
36,169 |
17,313 |
$1.68M |
| T1016 |
Case management |
83,847 |
40,655 |
$1.46M |
| H0031 |
Mh health assess by non-md |
8,878 |
8,244 |
$989K |
| H2014 |
Skills train and dev, 15 min |
17,907 |
7,520 |
$414K |
| 99214 |
|
5,410 |
5,213 |
$322K |
| 90792 |
|
1,591 |
1,576 |
$249K |
| 99213 |
|
4,028 |
3,942 |
$228K |
| H0038 |
Self-help/peer svc per 15min |
6,033 |
2,808 |
$215K |
| S0215 |
Nonemerg transp mileage |
10,458 |
4,063 |
$159K |
| 99215 |
Prolong outpt/office vis |
674 |
659 |
$79K |
| A0120 |
Noner transport mini-bus |
10,402 |
4,059 |
$76K |
| H2027 |
Psychoed svc, per 15 min |
2,611 |
1,502 |
$55K |
| H2025 |
Supp maint employ, 15 min |
151 |
29 |
$29K |
| 99212 |
|
174 |
171 |
$9K |
| H0002 |
Alcohol and/or drug screenin |
247 |
246 |
$7K |
| T1002 |
Rn services up to 15 minutes |
1,113 |
997 |
$5K |
| A0110 |
Nonemergency transport bus |
5,634 |
2,503 |
$5K |
| H0023 |
Alcohol and/or drug outreach |
51 |
43 |
$1K |
| H0025 |
Alcohol and/or drug preventi |
12 |
12 |
$98.90 |
| T1003 |
Lpn/lvn services up to 15min |
16 |
13 |
$38.18 |
| H0043 |
Supported housing, per diem |
1,067 |
48 |
$0.00 |
| A0100 |
Nonemergency transport taxi |
28 |
12 |
$0.00 |
| H0034 |
Med trng & support per 15min |
12 |
12 |
$0.00 |