| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Com wrap-around sv, per diem |
1,166 |
1,040 |
$7.24M |
| H0023 |
Alcohol and/or drug outreach |
21,829 |
18,986 |
$6.48M |
| 97150 |
|
29,538 |
4,185 |
$5.56M |
| T1017 |
Targeted case management |
11,598 |
11,530 |
$3.92M |
| H2017 |
Psysoc rehab svc, per 15 min |
45,144 |
3,274 |
$1.85M |
| 90837 |
|
16,197 |
9,466 |
$1.27M |
| H0006 |
Alcohol and/or drug services |
3,060 |
2,464 |
$500K |
| 99214 |
|
7,140 |
5,894 |
$386K |
| 90791 |
|
3,863 |
3,044 |
$367K |
| A0120 |
Noner transport mini-bus |
24,846 |
2,724 |
$363K |
| 99213 |
|
7,760 |
6,544 |
$236K |
| T2021 |
Day habil waiver per 15 min |
1,588 |
610 |
$216K |
| H0046 |
Mental health service, nos |
1,918 |
133 |
$171K |
| H2011 |
Crisis interven svc, 15 min |
236 |
154 |
$144K |
| 90834 |
|
2,173 |
1,561 |
$124K |
| 99212 |
|
5,102 |
4,164 |
$123K |
| H0036 |
Comm psy face-face per 15min |
580 |
424 |
$98K |
| T2003 |
N-et; encounter/trip |
7,032 |
1,030 |
$96K |
| A0100 |
Nonemergency transport taxi |
3,807 |
697 |
$64K |
| H0014 |
Alcohol and/or drug services |
590 |
417 |
$57K |
| 90853 |
|
3,427 |
1,313 |
$48K |
| 80305 |
|
5,122 |
2,498 |
$35K |
| 90832 |
|
562 |
451 |
$25K |
| 96372 |
|
2,434 |
1,720 |
$19K |
| H0004 |
Alcohol and/or drug services |
403 |
254 |
$9K |
| H0005 |
Alcohol and/or drug services |
571 |
262 |
$4K |
| H0032 |
Mh svc plan dev by non-md |
71 |
51 |
$2K |