| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
85,935 |
48,239 |
$4.45M |
| H0031 |
Mh health assess by non-md |
8,490 |
7,839 |
$1.23M |
| H0004 |
Alcohol and/or drug services |
16,921 |
9,902 |
$971K |
| 99214 |
|
8,897 |
8,275 |
$614K |
| H0038 |
Self-help/peer svc per 15min |
13,839 |
5,360 |
$420K |
| H2016 |
Comp comm supp svc, per diem |
503 |
265 |
$158K |
| 99215 |
Prolong outpt/office vis |
824 |
774 |
$92K |
| 99213 |
|
1,710 |
1,511 |
$81K |
| H2027 |
Psychoed svc, per 15 min |
1,094 |
639 |
$53K |
| 90837 |
|
322 |
225 |
$39K |
| H0001 |
Alcohol and/or drug assess |
1,077 |
1,058 |
$28K |
| T1003 |
Lpn/lvn services up to 15min |
1,169 |
948 |
$24K |
| S5110 |
Family homecare training 15m |
1,282 |
834 |
$22K |
| H0043 |
Supported housing, per diem |
13 |
13 |
$8K |
| S0215 |
Nonemerg transp mileage |
1,357 |
804 |
$8K |
| A0120 |
Noner transport mini-bus |
1,346 |
790 |
$8K |
| H0015 |
Alcohol and/or drug services |
42 |
13 |
$8K |
| H0034 |
Med trng & support per 15min |
1,056 |
781 |
$8K |
| 90792 |
|
43 |
38 |
$8K |
| 99212 |
|
218 |
208 |
$7K |
| 99000 |
|
452 |
410 |
$5K |
| 83036 |
|
345 |
338 |
$3K |
| H2014 |
Skills train and dev, 15 min |
1,849 |
871 |
$2K |
| H0025 |
Alcohol and/or drug preventi |
165 |
144 |
$2K |
| 96372 |
|
144 |
120 |
$2K |
| A0110 |
Nonemergency transport bus |
2,412 |
1,637 |
$2K |
| 99396 |
|
13 |
12 |
$1K |
| 36415 |
|
323 |
314 |
$991.13 |
| 82947 |
|
97 |
94 |
$379.94 |
| 94760 |
|
19 |
19 |
$55.62 |
| A6453 |
Self-adher band w <3"/yd |
53 |
41 |
$37.87 |
| T1019 |
Personal care ser per 15 min |
57 |
27 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
64 |
37 |
$0.00 |