| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
78,809 |
67,293 |
$30.47M |
| T1016 |
Case management |
24,640 |
20,080 |
$7.68M |
| H0031 |
Mh health assess by non-md |
11,172 |
10,504 |
$2.72M |
| S0280 |
Medical home, initial plan |
4,570 |
3,870 |
$1.20M |
| H0032 |
Mh svc plan dev by non-md |
3,202 |
2,907 |
$627K |
| H2000 |
Comp multidisipln evaluation |
2,153 |
2,149 |
$500K |
| T2025 |
Waiver service, nos |
5,750 |
5,745 |
$288K |
| T1020 |
Personal care ser per diem |
7,221 |
242 |
$200K |
| 96110 |
|
571 |
543 |
$75K |
| 99214 |
|
670 |
611 |
$61K |
| T1001 |
Nursing assessment/evaluatn |
628 |
609 |
$58K |
| T1002 |
Rn services up to 15 minutes |
1,800 |
1,621 |
$56K |
| E1399 |
Durable medical equipment mi |
65 |
62 |
$45K |
| H0046 |
Mental health service, nos |
394 |
233 |
$14K |
| H2021 |
Com wrap-around sv, 15 min |
21 |
12 |
$12K |
| 99213 |
|
147 |
144 |
$8K |
| 90791 |
|
31 |
29 |
$7K |
| S9445 |
Pt education noc individ |
73 |
70 |
$6K |
| H0002 |
Alcohol and/or drug screenin |
27 |
18 |
$2K |