| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2025 |
Waiver service, nos |
52,451 |
4,460 |
$4.53M |
| 90837 |
|
31,657 |
22,663 |
$2.69M |
| 90832 |
|
59,765 |
44,321 |
$2.25M |
| H0039 |
Asser com tx face-face/15min |
21,509 |
2,777 |
$1.69M |
| 90834 |
|
18,402 |
14,982 |
$1.25M |
| H0031 |
Mh health assess by non-md |
13,575 |
12,459 |
$1.19M |
| H0038 |
Self-help/peer svc per 15min |
16,932 |
1,626 |
$1.06M |
| 90792 |
|
8,662 |
8,249 |
$996K |
| 99214 |
|
10,346 |
9,367 |
$820K |
| 99213 |
|
16,043 |
14,726 |
$717K |
| T2028 |
Special supply, nos waiver |
3,720 |
2,850 |
$603K |
| H2017 |
Psysoc rehab svc, per 15 min |
7,820 |
2,188 |
$517K |
| T1016 |
Case management |
5,914 |
3,907 |
$367K |
| H0004 |
Alcohol and/or drug services |
4,485 |
1,680 |
$160K |
| 90847 |
|
1,714 |
1,535 |
$106K |
| H0018 |
Alcohol and/or drug services |
610 |
68 |
$49K |
| Q3014 |
Telehealth facility fee |
2,113 |
2,003 |
$38K |
| T2003 |
N-et; encounter/trip |
2,631 |
627 |
$35K |
| T1001 |
Nursing assessment/evaluatn |
301 |
292 |
$24K |
| 99212 |
|
757 |
649 |
$17K |
| 90833 |
|
207 |
200 |
$14K |
| 90791 |
|
375 |
361 |
$12K |
| H2010 |
Comprehensive med svc 15 min |
377 |
308 |
$9K |
| H0025 |
Alcohol and/or drug preventi |
399 |
83 |
$6K |
| 90846 |
|
79 |
75 |
$4K |