| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
136,390 |
60,758 |
$5.53M |
| H0004 |
Alcohol and/or drug services |
36,426 |
17,596 |
$1.99M |
| H0031 |
Mh health assess by non-md |
11,992 |
11,056 |
$1.89M |
| H0038 |
Self-help/peer svc per 15min |
16,334 |
7,340 |
$780K |
| 99214 |
|
9,712 |
9,088 |
$763K |
| H2010 |
Comprehensive med svc 15 min |
30,769 |
2,496 |
$479K |
| H2016 |
Comp comm supp svc, per diem |
1,438 |
779 |
$447K |
| H2020 |
Ther behav svc, per diem |
3,762 |
334 |
$432K |
| 90837 |
|
3,561 |
2,122 |
$385K |
| 99213 |
|
6,575 |
5,906 |
$338K |
| H0043 |
Supported housing, per diem |
330 |
329 |
$217K |
| H2027 |
Psychoed svc, per 15 min |
3,944 |
1,847 |
$185K |
| H0020 |
Alcohol and/or drug services |
26,752 |
2,445 |
$107K |
| 99215 |
Prolong outpt/office vis |
638 |
614 |
$75K |
| 96372 |
|
4,168 |
3,618 |
$64K |
| H0015 |
Alcohol and/or drug services |
334 |
132 |
$61K |
| H0001 |
Alcohol and/or drug assess |
1,929 |
1,831 |
$54K |
| 90834 |
|
747 |
549 |
$41K |
| 90792 |
|
232 |
223 |
$37K |
| S5110 |
Family homecare training 15m |
1,841 |
1,251 |
$36K |
| T1003 |
Lpn/lvn services up to 15min |
1,475 |
980 |
$34K |
| H0023 |
Alcohol and/or drug outreach |
461 |
372 |
$23K |
| S0215 |
Nonemerg transp mileage |
2,566 |
1,291 |
$19K |
| A0120 |
Noner transport mini-bus |
2,523 |
1,265 |
$15K |
| 99212 |
|
508 |
446 |
$14K |
| H2019 |
Ther behav svc, per 15 min |
175 |
80 |
$9K |
| T1019 |
Personal care ser per 15 min |
3,268 |
307 |
$8K |
| 83036 |
|
446 |
427 |
$4K |
| A0110 |
Nonemergency transport bus |
4,189 |
2,580 |
$3K |
| H2011 |
Crisis interven svc, 15 min |
18 |
15 |
$3K |
| H2014 |
Skills train and dev, 15 min |
2,789 |
1,234 |
$3K |
| H0002 |
Alcohol and/or drug screenin |
141 |
120 |
$3K |
| 90853 |
|
153 |
61 |
$3K |
| 99000 |
|
276 |
255 |
$3K |
| 80305 |
|
157 |
131 |
$2K |
| A6453 |
Self-adher band w <3"/yd |
1,413 |
1,196 |
$1K |
| 93000 |
|
40 |
39 |
$748.80 |
| H0034 |
Med trng & support per 15min |
207 |
77 |
$643.26 |
| 90471 |
|
15 |
12 |
$241.10 |
| 94760 |
|
122 |
109 |
$240.14 |
| 36415 |
|
112 |
96 |
$180.44 |
| 86580 |
|
39 |
25 |
$118.44 |
| 80354 |
|
154 |
136 |
$21.19 |
| T1013 |
Sign lang/oral interpreter |
23 |
15 |
$0.00 |
| H0025 |
Alcohol and/or drug preventi |
38 |
23 |
$0.00 |