| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care ser per diem |
112,460 |
3,515 |
$22.45M |
| H2011 |
Crisis interven svc, 15 min |
45,844 |
21,817 |
$22.19M |
| H2010 |
Comprehensive med svc 15 min |
101,780 |
89,173 |
$13.28M |
| H0040 |
Assert comm tx pgm per diem |
164,796 |
10,144 |
$13.07M |
| H0019 |
Alcohol and/or drug services |
112,396 |
3,515 |
$12.70M |
| H2021 |
Com wrap-around sv, 15 min |
21,644 |
1,017 |
$8.63M |
| H2012 |
Behav hlth day treat, per hr |
29,943 |
1,924 |
$7.64M |
| H0004 |
Alcohol and/or drug services |
100,099 |
41,527 |
$6.29M |
| H2018 |
Psysoc rehab svc, per diem |
41,084 |
1,297 |
$3.27M |
| H2033 |
Multisys ther/juvenile 15min |
2,388 |
713 |
$1.56M |
| H0018 |
Alcohol and/or drug services |
3,075 |
352 |
$1.15M |
| T2022 |
Case management, per month |
1,728 |
1,529 |
$592K |
| 99214 |
|
16,689 |
15,591 |
$524K |
| 99408 |
|
1,764 |
1,554 |
$362K |
| H0047 |
Alcohol/drug abuse svc nos |
1,764 |
1,554 |
$330K |
| G9012 |
Other specified case mgmt |
5,616 |
1,449 |
$315K |
| H0015 |
Alcohol and/or drug services |
1,149 |
357 |
$173K |
| 92507 |
|
3,909 |
879 |
$149K |
| T1013 |
Sign lang/oral interpreter |
2,519 |
1,360 |
$93K |
| 97530 |
|
3,145 |
722 |
$89K |
| 99213 |
|
2,689 |
2,357 |
$58K |
| H2000 |
Comp multidisipln evaluation |
634 |
598 |
$52K |
| 99215 |
Prolong outpt/office vis |
710 |
606 |
$33K |
| 97535 |
|
837 |
217 |
$29K |
| 99406 |
|
1,248 |
613 |
$7K |
| 92508 |
|
609 |
131 |
$6K |
| 90832 |
|
520 |
336 |
$6K |
| 97150 |
|
430 |
136 |
$5K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 99443 |
|
66 |
63 |
$2K |
| 90837 |
|
32 |
25 |
$379.08 |
| 96372 |
|
16 |
12 |
$27.96 |
| 80305 |
|
748 |
660 |
$27.63 |
| 96127 |
|
508 |
436 |
$17.74 |
| G2212 |
Prolong outpt/office vis |
38 |
34 |
$0.00 |