| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97535 |
|
260,668 |
14,215 |
$29.28M |
| T1019 |
Personal care ser per 15 min |
72,820 |
3,587 |
$11.80M |
| T2016 |
Habil res waiver per diem |
66,134 |
2,486 |
$11.14M |
| H0018 |
Alcohol and/or drug services |
27,184 |
1,871 |
$4.72M |
| T2022 |
Case management, per month |
16,349 |
15,593 |
$4.35M |
| T2021 |
Day habil waiver per 15 min |
58,018 |
4,319 |
$4.03M |
| S5108 |
Homecare train pt 15 min |
36,095 |
1,864 |
$3.96M |
| T2023 |
Targeted case mgmt per month |
11,916 |
10,904 |
$3.51M |
| 90837 |
|
23,598 |
15,793 |
$2.05M |
| H0011 |
Alcohol and/or drug services |
9,998 |
507 |
$1.61M |
| T2040 |
Financial mgt waiver/15min |
17,698 |
15,338 |
$1.59M |
| T1005 |
Respite care service 15 min |
24,245 |
4,781 |
$1.51M |
| 90832 |
|
33,107 |
20,386 |
$1.44M |
| H0002 |
Alcohol and/or drug screenin |
13,676 |
11,862 |
$1.14M |
| 99213 |
|
34,295 |
28,366 |
$1.03M |
| H2019 |
Ther behav svc, per 15 min |
2,636 |
305 |
$967K |
| 90791 |
|
7,062 |
6,423 |
$588K |
| H2020 |
Ther behav svc, per diem |
3,886 |
413 |
$554K |
| H0040 |
Assert comm tx pgm per diem |
894 |
777 |
$517K |
| 90834 |
|
5,237 |
3,887 |
$373K |
| 90853 |
|
12,144 |
4,236 |
$365K |
| H2011 |
Crisis interven svc, 15 min |
4,988 |
3,058 |
$322K |
| H2021 |
Com wrap-around sv, 15 min |
2,565 |
977 |
$269K |
| S9484 |
Crisis intervention per hour |
2,767 |
1,209 |
$253K |
| 90792 |
|
1,919 |
1,732 |
$245K |
| H0038 |
Self-help/peer svc per 15min |
7,828 |
2,485 |
$185K |
| 90847 |
|
1,263 |
1,030 |
$113K |
| 99214 |
|
1,891 |
1,349 |
$71K |
| H2015 |
Comp comm supp svc, 15 min |
692 |
148 |
$20K |
| 90846 |
|
147 |
97 |
$12K |
| 90839 |
|
211 |
115 |
$10K |
| 99212 |
|
410 |
319 |
$7K |
| 99203 |
|
92 |
85 |
$4K |
| 99204 |
|
55 |
39 |
$2K |
| 96131 |
|
21 |
14 |
$1K |
| 96137 |
|
53 |
14 |
$1K |
| 99211 |
|
273 |
206 |
$864.37 |
| 96130 |
|
16 |
13 |
$805.67 |
| 99442 |
|
561 |
488 |
$462.73 |
| 96136 |
|
18 |
13 |
$250.21 |
| G2012 |
Brief check in by md/qhp |
62 |
49 |
$16.49 |
| H2012 |
Behav hlth day treat, per hr |
144 |
55 |
$0.00 |