| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
49,600 |
33,068 |
$9.51M |
| T1016 |
Case management |
106,940 |
37,370 |
$2.13M |
| 99214 |
|
10,429 |
9,742 |
$177K |
| H0004 |
Alcohol and/or drug services |
16,180 |
10,372 |
$38K |
| 99215 |
Prolong outpt/office vis |
154 |
151 |
$25K |
| 99213 |
|
5,208 |
4,781 |
$9K |
| H2019 |
Ther behav svc, per 15 min |
2,871 |
365 |
$7K |
| H0031 |
Mh health assess by non-md |
12,193 |
11,101 |
$4K |
| 90792 |
|
1,791 |
1,726 |
$1K |
| 99385 |
|
585 |
515 |
$247.29 |
| H2014 |
Skills train and dev, 15 min |
8,260 |
3,116 |
$191.19 |
| H0038 |
Self-help/peer svc per 15min |
743 |
293 |
$89.95 |
| H0002 |
Alcohol and/or drug screenin |
1,315 |
1,202 |
$81.74 |
| 99211 |
|
177 |
146 |
$41.68 |
| 96150 |
|
366 |
288 |
$24.74 |
| 36415 |
|
660 |
572 |
$7.80 |
| 81003 |
|
381 |
322 |
$3.24 |
| A0160 |
Noner transport case worker |
385 |
195 |
$0.00 |
| S0215 |
Nonemerg transp mileage |
591 |
296 |
$0.00 |
| 99212 |
|
397 |
373 |
$0.00 |
| 99204 |
|
13 |
13 |
$0.00 |
| H2011 |
Crisis interven svc, 15 min |
2,735 |
1,757 |
$0.00 |
| 81025 |
|
18 |
14 |
$0.00 |
| A0110 |
Nonemergency transport bus |
143 |
59 |
$0.00 |
| 90837 |
|
53 |
30 |
$0.00 |
| 99395 |
|
27 |
26 |
$0.00 |
| H0034 |
Med trng & support per 15min |
164 |
56 |
$0.00 |
| 90832 |
|
31 |
26 |
$0.00 |
| 90853 |
|
13 |
13 |
$0.00 |
| S5110 |
Family homecare training 15m |
1,511 |
1,364 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
108 |
106 |
$0.00 |
| A0120 |
Noner transport mini-bus |
597 |
298 |
$0.00 |
| 96151 |
|
169 |
117 |
$0.00 |
| T1019 |
Personal care ser per 15 min |
1,446 |
258 |
$0.00 |
| 90471 |
|
13 |
13 |
$0.00 |
| 99386 |
|
93 |
91 |
$0.00 |
| 0011A |
|
16 |
13 |
$0.00 |
| 0012A |
|
33 |
32 |
$0.00 |