| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
36,773 |
20,050 |
$1.84M |
| H0004 |
Alcohol and/or drug services |
12,109 |
6,186 |
$778K |
| H0031 |
Mh health assess by non-md |
3,652 |
3,499 |
$576K |
| H2010 |
Comprehensive med svc 15 min |
27,670 |
3,535 |
$365K |
| 99214 |
|
3,478 |
3,318 |
$269K |
| 90837 |
|
877 |
543 |
$111K |
| H0015 |
Alcohol and/or drug services |
449 |
115 |
$89K |
| H0020 |
Alcohol and/or drug services |
15,152 |
3,175 |
$50K |
| H0038 |
Self-help/peer svc per 15min |
2,292 |
1,403 |
$44K |
| T1003 |
Lpn/lvn services up to 15min |
1,658 |
1,009 |
$39K |
| H0001 |
Alcohol and/or drug assess |
1,063 |
1,045 |
$32K |
| H2027 |
Psychoed svc, per 15 min |
656 |
374 |
$25K |
| 99213 |
|
480 |
423 |
$22K |
| 99215 |
Prolong outpt/office vis |
108 |
100 |
$13K |
| S5110 |
Family homecare training 15m |
260 |
172 |
$7K |
| 90792 |
|
25 |
24 |
$4K |
| A0110 |
Nonemergency transport bus |
763 |
467 |
$2K |
| 83036 |
|
185 |
175 |
$2K |
| H2014 |
Skills train and dev, 15 min |
1,072 |
508 |
$2K |
| 99212 |
|
29 |
26 |
$881.52 |
| H0023 |
Alcohol and/or drug outreach |
15 |
15 |
$224.12 |
| 80305 |
|
32 |
27 |
$214.46 |
| H2025 |
Supp maint employ, 15 min |
43 |
39 |
$19.32 |
| 80354 |
|
14 |
13 |
$0.00 |
| S0215 |
Nonemerg transp mileage |
243 |
106 |
$0.00 |
| A0120 |
Noner transport mini-bus |
243 |
106 |
$0.00 |