| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1023 |
Program intake assessment |
17,019 |
15,404 |
$16.21M |
| H0018 |
Alcohol and/or drug services |
4,485 |
4,234 |
$10.28M |
| H2011 |
Crisis interven svc, 15 min |
42,905 |
25,065 |
$9.66M |
| 90791 |
|
9,095 |
8,184 |
$3.42M |
| T1002 |
Rn services up to 15 minutes |
14,098 |
11,611 |
$1.79M |
| 96372 |
|
9,079 |
4,774 |
$1.25M |
| S9976 |
Lodging per diem |
4,253 |
4,062 |
$901K |
| 99211 |
|
3,571 |
2,112 |
$402K |
| 90792 |
|
834 |
793 |
$229K |
| H0038 |
Self-help/peer svc per 15min |
1,956 |
1,600 |
$181K |
| S5111 |
Family homecare train/sessio |
1,085 |
323 |
$120K |
| 99214 |
|
399 |
365 |
$27K |
| T1001 |
Nursing assessment/evaluatn |
47 |
41 |
$15K |
| 90838 |
|
194 |
168 |
$13K |
| H0032 |
Mh svc plan dev by non-md |
66 |
61 |
$10K |
| 99205 |
Prolong outpt/office vis |
80 |
80 |
$9K |
| 90832 |
|
223 |
201 |
$8K |
| H0034 |
Med trng & support per 15min |
22 |
17 |
$7K |
| 90833 |
|
102 |
95 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
27 |
$3K |
| 96127 |
|
178 |
159 |
$96.91 |