| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
614,020 |
38,069 |
$60.83M |
| T1016 |
Case management |
113,360 |
26,380 |
$9.36M |
| 99199 |
|
186,381 |
26,382 |
$8.75M |
| S9484 |
Crisis intervention per hour |
61,382 |
10,194 |
$4.81M |
| A9999 |
Dme supply or accessory, nos |
4,031 |
2,682 |
$560K |
| T1017 |
Targeted case management |
6,296 |
5,295 |
$261K |
| H2011 |
Crisis interven svc, 15 min |
2,626 |
1,388 |
$193K |
| T2028 |
Special supply, nos waiver |
714 |
524 |
$160K |
| 99214 |
|
1,787 |
1,422 |
$37K |
| 99215 |
Prolong outpt/office vis |
691 |
531 |
$18K |
| S5190 |
Wellness assessment by nonph |
114 |
110 |
$14K |
| H0030 |
Alcohol and/or drug hotline |
725 |
425 |
$14K |
| 99213 |
|
190 |
146 |
$3K |
| A0110 |
Nonemergency transport bus |
44 |
36 |
$2K |
| 96372 |
|
31 |
24 |
$69.78 |