| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2032 |
Activity therapy, per 15 min |
47,173 |
12,269 |
$5.44M |
| H2014 |
Skills train and dev, 15 min |
42,029 |
11,480 |
$3.36M |
| H2019 |
Ther behav svc, per 15 min |
69,287 |
8,918 |
$3.34M |
| H2015 |
Comp comm supp svc, 15 min |
16,802 |
4,783 |
$1.70M |
| H2017 |
Psysoc rehab svc, per 15 min |
16,786 |
4,714 |
$1.59M |
| T2039 |
Vehicle mod waiver/service |
1,985 |
1,215 |
$743K |
| H0025 |
Alcohol and/or drug preventi |
11,491 |
1,798 |
$701K |
| 90837 |
|
6,513 |
2,961 |
$589K |
| 99214 |
|
6,787 |
6,129 |
$303K |
| 99215 |
Prolong outpt/office vis |
2,194 |
2,009 |
$118K |
| H0046 |
Mental health service, nos |
8,835 |
2,846 |
$98K |
| 90834 |
|
2,064 |
1,278 |
$90K |
| 99232 |
|
1,361 |
332 |
$54K |
| 90791 |
|
266 |
250 |
$33K |
| 99223 |
Prolong inpt eval add15 m |
190 |
166 |
$22K |
| 96133 |
|
51 |
50 |
$12K |
| 96132 |
|
103 |
101 |
$9K |
| 99205 |
Prolong outpt/office vis |
68 |
64 |
$8K |
| 95886 |
|
133 |
133 |
$7K |
| 99309 |
|
124 |
48 |
$5K |
| 90832 |
|
95 |
63 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
74 |
40 |
$5K |
| 95874 |
|
728 |
571 |
$5K |
| 96137 |
|
13 |
13 |
$3K |
| 96116 |
|
38 |
37 |
$3K |
| H0032 |
Mh svc plan dev by non-md |
34 |
27 |
$3K |
| T2019 |
Habil sup empl waiver 15min |
32 |
12 |
$3K |
| 99213 |
|
38 |
37 |
$2K |
| 64644 |
|
28 |
27 |
$2K |
| 99417 |
Prolong home eval add 15m |
30 |
26 |
$1K |
| G2212 |
Prolong outpt/office vis |
67 |
54 |
$1K |
| 90853 |
|
80 |
24 |
$1K |
| H0031 |
Mh health assess by non-md |
13 |
13 |
$1K |
| 99204 |
|
12 |
12 |
$747.33 |
| 96136 |
|
13 |
13 |
$510.85 |
| 64645 |
|
13 |
12 |
$339.39 |
| 64643 |
|
16 |
13 |
$94.77 |