| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2012 |
Behav hlth day treat, per hr |
163,513 |
9,741 |
$32.22M |
| H0004 |
Alcohol and/or drug services |
202,634 |
56,561 |
$14.50M |
| T1026 |
Ped compr care pkg, per hour |
4,606 |
4,399 |
$4.22M |
| H2021 |
Com wrap-around sv, 15 min |
5,801 |
1,350 |
$1.41M |
| H2010 |
Comprehensive med svc 15 min |
969 |
893 |
$133K |
| H0041 |
Fos c chld non-ther per diem |
65 |
65 |
$95K |
| H2000 |
Comp multidisipln evaluation |
1,781 |
1,384 |
$64K |
| 96137 |
|
249 |
231 |
$48K |
| 96101 |
|
152 |
145 |
$41K |
| 96130 |
|
271 |
251 |
$24K |
| T1017 |
Targeted case management |
219 |
58 |
$13K |
| 96136 |
|
312 |
289 |
$13K |
| T1013 |
Sign lang/oral interpreter |
343 |
221 |
$4K |
| 96131 |
|
12 |
12 |
$1K |
| G9007 |
Mccd, sch team conf |
100 |
50 |
$0.00 |