| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assert comm tx pgm per diem |
53,600 |
11,718 |
$14.90M |
| S5102 |
Adult day care per diem |
16,297 |
2,718 |
$10.36M |
| S5140 |
Adult foster care per diem |
18,565 |
2,661 |
$6.84M |
| H2012 |
Behav hlth day treat, per hr |
137,814 |
9,074 |
$5.70M |
| T2016 |
Habil res waiver per diem |
11,390 |
831 |
$5.45M |
| T1016 |
Case management |
74,395 |
19,079 |
$3.18M |
| 90837 |
|
33,296 |
17,004 |
$2.46M |
| 99214 |
|
14,914 |
12,651 |
$1.37M |
| H0037 |
Comm psy sup tx pgm per diem |
5,547 |
1,229 |
$1.23M |
| H2019 |
Ther behav svc, per 15 min |
28,243 |
5,498 |
$949K |
| H0038 |
Self-help/peer svc per 15min |
9,822 |
2,713 |
$599K |
| H2014 |
Skills train and dev, 15 min |
3,370 |
780 |
$357K |
| 90791 |
|
3,693 |
3,251 |
$312K |
| 99215 |
Prolong outpt/office vis |
2,247 |
1,980 |
$265K |
| 90832 |
|
6,823 |
4,807 |
$264K |
| H2020 |
Ther behav svc, per diem |
1,443 |
273 |
$186K |
| H0015 |
Alcohol and/or drug services |
1,057 |
171 |
$170K |
| 99205 |
Prolong outpt/office vis |
843 |
762 |
$169K |
| 90853 |
|
9,368 |
1,353 |
$115K |
| 90834 |
|
2,166 |
1,751 |
$112K |
| 99211 |
|
5,559 |
3,626 |
$56K |
| A9270 |
Non-covered item or service |
48 |
37 |
$47K |
| H2034 |
A/d halfway house, per diem |
12 |
12 |
$30K |
| 99213 |
|
409 |
249 |
$23K |
| H2036 |
A/d tx program, per diem |
125 |
41 |
$11K |
| Q3014 |
Telehealth facility fee |
354 |
265 |
$10K |
| 90846 |
|
237 |
80 |
$6K |
| 80305 |
|
167 |
156 |
$2K |
| G0444 |
Depression screen annual |
302 |
143 |
$1K |
| 90847 |
|
18 |
14 |
$1K |
| 98968 |
|
41 |
39 |
$741.16 |
| 99406 |
|
141 |
69 |
$571.57 |
| 96372 |
|
29 |
14 |
$71.04 |