| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
290,967 |
16,245 |
$17.15M |
| 97530 |
|
45,617 |
6,410 |
$2.05M |
| 92507 |
|
42,269 |
6,698 |
$1.96M |
| 97110 |
|
43,858 |
6,537 |
$1.74M |
| A0120 |
Noner transport mini-bus |
66,682 |
6,085 |
$1.50M |
| 90837 |
|
13,115 |
3,367 |
$403K |
| H0004 |
Alcohol and/or drug services |
3,877 |
1,965 |
$307K |
| H2016 |
Comp comm supp svc, per diem |
82 |
21 |
$190K |
| 96112 |
|
1,167 |
868 |
$88K |
| 96113 |
|
927 |
653 |
$65K |
| 90885 |
|
976 |
899 |
$51K |
| T1023 |
Program intake assessment |
540 |
481 |
$50K |
| 90834 |
|
1,587 |
758 |
$50K |
| 90853 |
|
2,579 |
631 |
$46K |
| 90832 |
|
2,508 |
975 |
$42K |
| T2028 |
Special supply, nos waiver |
725 |
329 |
$41K |
| 90792 |
|
480 |
376 |
$39K |
| H2015 |
Comp comm supp svc, 15 min |
751 |
460 |
$35K |
| 90847 |
|
534 |
392 |
$32K |
| 90791 |
|
138 |
131 |
$27K |
| 99212 |
|
1,894 |
1,343 |
$21K |
| 90846 |
|
172 |
120 |
$14K |
| H2019 |
Ther behav svc, per 15 min |
1,428 |
261 |
$11K |
| 90887 |
|
207 |
177 |
$10K |
| 99367 |
|
100 |
83 |
$7K |
| S0220 |
Medical conference by physic |
122 |
66 |
$2K |
| 99213 |
|
70 |
51 |
$1K |
| 97001 |
|
14 |
13 |
$889.92 |
| 97003 |
|
12 |
12 |
$664.48 |
| 97165 |
|
15 |
13 |
$642.72 |
| 99442 |
|
98 |
80 |
$285.92 |
| 99422 |
|
123 |
83 |
$243.95 |
| 98967 |
|
17 |
13 |
$100.34 |