| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
39,637 |
2,759 |
$7.74M |
| H2017 |
Psysoc rehab svc, per 15 min |
15,240 |
1,346 |
$4.10M |
| 96152 |
|
6,713 |
486 |
$1.44M |
| H2014 |
Skills train and dev, 15 min |
27,482 |
1,093 |
$1.12M |
| T1019 |
Personal care ser per 15 min |
20,524 |
1,676 |
$426K |
| 92507 |
|
15,567 |
6,913 |
$389K |
| 92508 |
|
34,183 |
13,659 |
$298K |
| 96131 |
|
1,498 |
1,477 |
$297K |
| 99412 |
|
6,242 |
560 |
$225K |
| 97530 |
|
5,685 |
2,633 |
$216K |
| 96130 |
|
1,902 |
1,859 |
$195K |
| 96137 |
|
1,244 |
1,223 |
$176K |
| 92523 |
|
918 |
909 |
$110K |
| H0005 |
Alcohol and/or drug services |
1,800 |
114 |
$61K |
| 96136 |
|
1,447 |
1,432 |
$55K |
| H2019 |
Ther behav svc, per 15 min |
690 |
423 |
$51K |
| 97110 |
|
1,499 |
661 |
$46K |
| 96101 |
|
327 |
176 |
$39K |
| T1001 |
Nursing assessment/evaluatn |
179 |
179 |
$9K |
| 97165 |
|
12 |
12 |
$1K |
| 96146 |
|
583 |
366 |
$906.62 |
| G9002 |
Mccd,maintenance rate |
12 |
12 |
$692.92 |
| H2000 |
Comp multidisipln evaluation |
15 |
13 |
$548.13 |