| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
29,317 |
14,853 |
$1.73M |
| T1016 |
Case management |
57,983 |
22,239 |
$1.03M |
| H0031 |
Mh health assess by non-md |
5,005 |
4,077 |
$574K |
| H2010 |
Comprehensive med svc 15 min |
44,215 |
4,712 |
$529K |
| T1002 |
Rn services up to 15 minutes |
30,808 |
5,581 |
$478K |
| H0020 |
Alcohol and/or drug services |
85,198 |
4,718 |
$288K |
| 99214 |
|
6,175 |
5,719 |
$282K |
| 99213 |
|
1,032 |
1,013 |
$65K |
| H2014 |
Skills train and dev, 15 min |
6,357 |
1,494 |
$56K |
| 99215 |
Prolong outpt/office vis |
396 |
384 |
$45K |
| 90792 |
|
207 |
207 |
$37K |
| H0038 |
Self-help/peer svc per 15min |
1,320 |
558 |
$33K |
| S0215 |
Nonemerg transp mileage |
2,843 |
1,124 |
$12K |
| H0033 |
Oral med adm direct observe |
293 |
26 |
$6K |
| H2027 |
Psychoed svc, per 15 min |
212 |
129 |
$4K |
| H0023 |
Alcohol and/or drug outreach |
161 |
111 |
$3K |
| A0120 |
Noner transport mini-bus |
1,672 |
832 |
$1K |
| 99212 |
|
336 |
313 |
$941.06 |
| A0110 |
Nonemergency transport bus |
5,762 |
1,470 |
$791.69 |
| H0025 |
Alcohol and/or drug preventi |
14 |
14 |
$139.92 |
| T1003 |
Lpn/lvn services up to 15min |
242 |
177 |
$19.10 |
| A0160 |
Noner transport case worker |
17 |
14 |
$13.05 |
| A0100 |
Nonemergency transport taxi |
894 |
319 |
$0.00 |