| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care ser per diem |
22,542 |
2,599 |
$9.62M |
| H2016 |
Comp comm supp svc, per diem |
22,574 |
2,596 |
$9.23M |
| 97153 |
|
4,126 |
442 |
$665K |
| 0365T |
|
4,172 |
346 |
$534K |
| S9976 |
Lodging per diem |
5,980 |
203 |
$170K |
| 0364T |
|
3,890 |
313 |
$117K |
| H2015 |
Comp comm supp svc, 15 min |
596 |
75 |
$50K |
| T1016 |
Case management |
182 |
115 |
$41K |
| H0036 |
Comm psy face-face per 15min |
51 |
16 |
$40K |
| T1017 |
Targeted case management |
87 |
56 |
$32K |
| H2030 |
Mh clubhouse svc, per 15 min |
104 |
12 |
$21K |
| H2014 |
Skills train and dev, 15 min |
211 |
23 |
$13K |
| H0031 |
Mh health assess by non-md |
29 |
26 |
$10K |
| T1002 |
Rn services up to 15 minutes |
25 |
20 |
$7K |
| 90837 |
|
29 |
22 |
$5K |
| 99214 |
|
18 |
18 |
$2K |
| 96372 |
|
32 |
29 |
$166.72 |