| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5145 |
Child fostercare th per diem |
5,543 |
5,214 |
$9.35M |
| H0004 |
Alcohol and/or drug services |
27,282 |
4,403 |
$3.19M |
| H0041 |
Fos c chld non-ther per diem |
7,376 |
6,941 |
$2.76M |
| H0036 |
Comm psy face-face per 15min |
12,638 |
2,833 |
$1.35M |
| 90791 |
|
648 |
632 |
$504K |
| 99215 |
Prolong outpt/office vis |
1,659 |
1,329 |
$358K |
| H2017 |
Psysoc rehab svc, per 15 min |
4,368 |
1,083 |
$318K |
| 99214 |
|
2,058 |
1,724 |
$289K |
| H2015 |
Comp comm supp svc, 15 min |
1,216 |
548 |
$268K |
| G0397 |
Alcohol/subs interv >30 min |
800 |
290 |
$127K |
| 99213 |
|
1,672 |
1,428 |
$124K |
| 90847 |
|
872 |
820 |
$110K |
| 90792 |
|
227 |
210 |
$86K |
| 90834 |
|
400 |
321 |
$48K |
| H0005 |
Alcohol and/or drug services |
605 |
205 |
$39K |
| 96131 |
|
39 |
38 |
$27K |
| H0050 |
Alcohol/drug service 15 min |
435 |
242 |
$24K |
| 99205 |
Prolong outpt/office vis |
86 |
86 |
$23K |
| H2014 |
Skills train and dev, 15 min |
253 |
149 |
$21K |
| 90882 |
|
261 |
170 |
$21K |
| G0396 |
Alcohol/subs interv 15-30mn |
129 |
39 |
$14K |
| S5150 |
Unskilled respite care /15m |
24 |
15 |
$4K |
| 96130 |
|
12 |
12 |
$3K |
| T1006 |
Family/couple counseling |
28 |
26 |
$3K |
| 99212 |
|
31 |
28 |
$2K |
| H2011 |
Crisis interven svc, 15 min |
18 |
12 |
$2K |
| 99393 |
|
13 |
13 |
$2K |