| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care ser per diem |
7,504 |
1,615 |
$16.99M |
| H0040 |
Assert comm tx pgm per diem |
99,663 |
5,564 |
$7.05M |
| T2021 |
Day habil waiver per 15 min |
47,683 |
3,401 |
$5.17M |
| H0004 |
Alcohol and/or drug services |
61,317 |
23,754 |
$4.64M |
| H0019 |
Alcohol and/or drug services |
7,489 |
1,614 |
$3.75M |
| H2033 |
Multisys ther/juvenile 15min |
2,299 |
606 |
$1.08M |
| H2010 |
Comprehensive med svc 15 min |
4,244 |
3,378 |
$665K |
| H2019 |
Ther behav svc, per 15 min |
1,903 |
723 |
$159K |
| H2011 |
Crisis interven svc, 15 min |
621 |
215 |
$93K |
| H0018 |
Alcohol and/or drug services |
192 |
36 |
$90K |
| H2018 |
Psysoc rehab svc, per diem |
1,082 |
66 |
$80K |
| 99408 |
|
201 |
179 |
$46K |
| H0047 |
Alcohol/drug abuse svc nos |
203 |
179 |
$45K |
| T2022 |
Case management, per month |
129 |
114 |
$42K |
| G9007 |
Mccd, sch team conf |
397 |
88 |
$26K |
| H2000 |
Comp multidisipln evaluation |
282 |
223 |
$22K |
| 90837 |
|
728 |
308 |
$14K |
| T2017 |
Habil res waiver 15 min |
118 |
12 |
$12K |
| 99214 |
|
635 |
582 |
$12K |
| Q3014 |
Telehealth facility fee |
318 |
291 |
$2K |