| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
177,873 |
15,067 |
$78.97M |
| T1020 |
Personal care ser per diem |
176,913 |
15,031 |
$31.98M |
| H2015 |
Comp comm supp svc, 15 min |
327,379 |
9,820 |
$24.04M |
| H0043 |
Supported housing, per diem |
51,210 |
2,953 |
$16.56M |
| T1017 |
Targeted case management |
20,301 |
19,895 |
$5.39M |
| T1016 |
Case management |
17,081 |
16,243 |
$3.41M |
| T2027 |
Spec childcare waiver 15 min |
57,771 |
1,140 |
$3.21M |
| T2022 |
Case management, per month |
4,645 |
4,645 |
$1.23M |
| T1005 |
Respite care service 15 min |
6,212 |
1,429 |
$778K |
| G0176 |
Opps/php/iop; activity thrpy |
5,512 |
1,709 |
$495K |
| T2023 |
Targeted case mgmt per month |
480 |
479 |
$239K |
| 90837 |
|
1,906 |
438 |
$152K |
| 90832 |
|
2,538 |
1,651 |
$90K |
| 99214 |
|
663 |
654 |
$54K |
| 90834 |
|
954 |
634 |
$50K |
| H2035 |
A/d tx program, per hour |
221 |
67 |
$17K |
| H0002 |
Alcohol and/or drug screenin |
110 |
110 |
$13K |
| H0003 |
Alcohol and/or drug screenin |
298 |
263 |
$9K |
| H0015 |
Alcohol and/or drug services |
80 |
12 |
$6K |
| T1002 |
Rn services up to 15 minutes |
106 |
105 |
$6K |
| T1001 |
Nursing assessment/evaluatn |
16 |
16 |
$3K |
| 90791 |
|
37 |
36 |
$2K |
| H0031 |
Mh health assess by non-md |
12 |
12 |
$1K |