| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0023 |
Alcohol and/or drug outreach |
11,548 |
9,718 |
$7.48M |
| H2017 |
Psysoc rehab svc, per 15 min |
65,868 |
14,389 |
$5.18M |
| H2015 |
Comp comm supp svc, 15 min |
71,240 |
15,017 |
$4.71M |
| T2025 |
Waiver service, nos |
3,734 |
3,219 |
$3.86M |
| H0046 |
Mental health service, nos |
179 |
60 |
$576K |
| H0004 |
Alcohol and/or drug services |
1,411 |
586 |
$106K |
| 90837 |
|
12,524 |
5,099 |
$97K |
| 99214 |
|
2,568 |
1,868 |
$17K |
| 90834 |
|
794 |
340 |
$16K |
| 99215 |
Prolong outpt/office vis |
1,213 |
864 |
$12K |
| 90847 |
|
958 |
461 |
$11K |
| H0005 |
Alcohol and/or drug services |
192 |
90 |
$10K |
| H2011 |
Crisis interven svc, 15 min |
2,928 |
1,552 |
$7K |
| H2023 |
Supported employ, per 15 min |
2,748 |
685 |
$0.00 |
| H2014 |
Skills train and dev, 15 min |
7,007 |
2,018 |
$0.00 |
| T2016 |
Habil res waiver per diem |
21,787 |
625 |
$0.00 |
| H2025 |
Supp maint employ, 15 min |
3,550 |
467 |
$0.00 |
| 99212 |
|
30 |
24 |
$0.00 |
| 90832 |
|
65 |
44 |
$0.00 |
| H0017 |
Alcohol and/or drug services |
208 |
13 |
$0.00 |
| 90792 |
|
43 |
41 |
$0.00 |
| S5100 |
Adult daycare services 15min |
14,376 |
1,237 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
1,045 |
756 |
$0.00 |