| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care ser per diem |
28,880 |
2,404 |
$10.89M |
| H2016 |
Comp comm supp svc, per diem |
28,878 |
2,403 |
$7.40M |
| H2015 |
Comp comm supp svc, 15 min |
60,794 |
3,545 |
$5.58M |
| T2003 |
N-et; encounter/trip |
22,371 |
3,002 |
$1.49M |
| H2014 |
Skills train and dev, 15 min |
14,012 |
1,599 |
$1.34M |
| 97153 |
|
6,703 |
568 |
$964K |
| S9976 |
Lodging per diem |
9,309 |
311 |
$264K |
| 0365T |
|
2,738 |
257 |
$229K |
| 97155 |
|
1,925 |
392 |
$205K |
| H2025 |
Supp maint employ, 15 min |
266 |
145 |
$124K |
| T1016 |
Case management |
387 |
279 |
$82K |
| H0036 |
Comm psy face-face per 15min |
88 |
36 |
$74K |
| T1017 |
Targeted case management |
212 |
129 |
$61K |
| H0031 |
Mh health assess by non-md |
159 |
145 |
$57K |
| H0018 |
Alcohol and/or drug services |
51 |
12 |
$31K |
| H2023 |
Supported employ, per 15 min |
137 |
61 |
$28K |
| 0369T |
|
353 |
146 |
$26K |
| 0364T |
|
617 |
92 |
$19K |
| 90837 |
|
88 |
62 |
$14K |
| H0039 |
Asser com tx face-face/15min |
54 |
13 |
$13K |
| T1002 |
Rn services up to 15 minutes |
42 |
28 |
$12K |
| H0032 |
Mh svc plan dev by non-md |
36 |
34 |
$8K |
| 97156 |
|
138 |
77 |
$8K |
| 99215 |
Prolong outpt/office vis |
44 |
43 |
$7K |
| H0038 |
Self-help/peer svc per 15min |
27 |
14 |
$7K |
| T1023 |
Program intake assessment |
25 |
24 |
$5K |
| 90847 |
|
31 |
19 |
$5K |
| 90791 |
|
21 |
20 |
$4K |
| 90853 |
|
58 |
28 |
$4K |
| 99214 |
|
34 |
34 |
$3K |
| 0370T |
|
30 |
25 |
$3K |
| T1005 |
Respite care service 15 min |
54 |
13 |
$2K |
| H2000 |
Comp multidisipln evaluation |
15 |
14 |
$1K |
| 99213 |
|
14 |
14 |
$935.90 |
| 96372 |
|
50 |
44 |
$260.50 |