| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
27,596 |
14,297 |
$1.47M |
| H0031 |
Mh health assess by non-md |
8,568 |
8,267 |
$706K |
| 99214 |
|
13,292 |
12,070 |
$533K |
| T1016 |
Case management |
80,240 |
28,529 |
$529K |
| H0025 |
Alcohol and/or drug preventi |
13,040 |
4,723 |
$429K |
| 90833 |
|
7,162 |
6,721 |
$285K |
| 90792 |
|
1,592 |
1,516 |
$141K |
| 99213 |
|
4,241 |
3,800 |
$136K |
| H2014 |
Skills train and dev, 15 min |
3,000 |
1,262 |
$83K |
| H0002 |
Alcohol and/or drug screenin |
3,922 |
3,849 |
$54K |
| H0038 |
Self-help/peer svc per 15min |
2,489 |
1,138 |
$38K |
| 99215 |
Prolong outpt/office vis |
639 |
578 |
$31K |
| 90832 |
|
758 |
660 |
$23K |
| 99204 |
|
218 |
203 |
$21K |
| 90836 |
|
202 |
184 |
$7K |
| T1002 |
Rn services up to 15 minutes |
1,491 |
1,043 |
$7K |
| 36415 |
|
2,871 |
2,398 |
$3K |
| 80305 |
|
400 |
360 |
$3K |
| 99212 |
|
613 |
399 |
$3K |
| T1019 |
Personal care ser per 15 min |
482 |
294 |
$1K |
| S5110 |
Family homecare training 15m |
23 |
16 |
$1K |
| 96127 |
|
487 |
434 |
$870.88 |
| H2027 |
Psychoed svc, per 15 min |
83 |
62 |
$620.83 |
| S0215 |
Nonemerg transp mileage |
33 |
27 |
$613.70 |
| 99211 |
|
40 |
36 |
$334.33 |
| 81002 |
|
14 |
12 |
$36.85 |
| A0160 |
Noner transport case worker |
1,092 |
750 |
$17.60 |
| A0110 |
Nonemergency transport bus |
18 |
15 |
$0.00 |