| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Adult day care per diem |
181,056 |
10,408 |
$26.74M |
| H2014 |
Skills train and dev, 15 min |
38,836 |
8,128 |
$14.80M |
| H0040 |
Assert comm tx pgm per diem |
147,125 |
4,825 |
$5.44M |
| T1019 |
Personal care ser per 15 min |
47,763 |
2,720 |
$4.06M |
| T1040 |
Comm bh clinic svc per diem |
11,023 |
6,479 |
$2.34M |
| S5101 |
Adult day care per half day |
27,255 |
3,020 |
$1.85M |
| S9485 |
Crisis intervention mental h |
1,303 |
996 |
$1000K |
| T1001 |
Nursing assessment/evaluatn |
4,783 |
4,279 |
$604K |
| 90834 |
|
6,526 |
4,057 |
$385K |
| H2011 |
Crisis interven svc, 15 min |
2,587 |
1,183 |
$189K |
| H2015 |
Comp comm supp svc, 15 min |
2,873 |
1,032 |
$157K |
| H2016 |
Comp comm supp svc, per diem |
4,551 |
203 |
$112K |
| 99214 |
|
3,016 |
2,867 |
$102K |
| 90832 |
|
3,372 |
2,398 |
$88K |
| 90837 |
|
2,330 |
1,449 |
$76K |
| 99213 |
|
1,250 |
1,165 |
$54K |
| 90791 |
|
659 |
630 |
$32K |
| 90887 |
|
105 |
85 |
$4K |
| 99212 |
|
29 |
29 |
$924.44 |
| 99205 |
Prolong outpt/office vis |
71 |
71 |
$672.14 |