| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5145 |
Child fostercare th per diem |
10,695 |
6,131 |
$7.64M |
| 90834 |
|
17,731 |
7,218 |
$2.60M |
| S5150 |
Unskilled respite care /15m |
8,033 |
3,532 |
$1.51M |
| 90832 |
|
8,653 |
4,500 |
$952K |
| H2017 |
Psysoc rehab svc, per 15 min |
8,913 |
2,231 |
$825K |
| H0036 |
Comm psy face-face per 15min |
6,872 |
1,710 |
$781K |
| H0004 |
Alcohol and/or drug services |
3,516 |
1,041 |
$608K |
| 99214 |
|
3,557 |
3,089 |
$426K |
| 90846 |
|
3,331 |
2,251 |
$362K |
| 90847 |
|
1,417 |
755 |
$307K |
| H2014 |
Skills train and dev, 15 min |
2,571 |
1,067 |
$262K |
| H2015 |
Comp comm supp svc, 15 min |
1,097 |
631 |
$231K |
| S5151 |
Unskilled respitecare /diem |
978 |
461 |
$218K |
| 90792 |
|
528 |
514 |
$144K |
| 99215 |
Prolong outpt/office vis |
583 |
530 |
$111K |
| 90791 |
|
264 |
204 |
$49K |
| 99213 |
|
397 |
364 |
$48K |
| 99051 |
|
3,417 |
2,021 |
$45K |
| 99417 |
Prolong home eval add 15m |
166 |
164 |
$34K |
| 90882 |
|
271 |
221 |
$16K |
| 96136 |
|
101 |
78 |
$15K |
| 96137 |
|
81 |
65 |
$6K |
| 96130 |
|
31 |
26 |
$3K |
| 99212 |
|
15 |
13 |
$2K |
| 90686 |
|
62 |
61 |
$831.96 |
| 90460 |
|
54 |
53 |
$256.90 |