| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0025 |
Alcohol and/or drug preventi |
31,580 |
10,343 |
$1.46M |
| H2014 |
Skills train and dev, 15 min |
41,341 |
8,646 |
$941K |
| H2012 |
Behav hlth day treat, per hr |
45,290 |
7,792 |
$887K |
| T1016 |
Case management |
65,778 |
21,872 |
$882K |
| S0215 |
Nonemerg transp mileage |
26,146 |
5,694 |
$532K |
| H0038 |
Self-help/peer svc per 15min |
30,346 |
9,738 |
$336K |
| A0120 |
Noner transport mini-bus |
25,255 |
5,617 |
$215K |
| H2015 |
Comp comm supp svc, 15 min |
5,274 |
1,852 |
$92K |
| H2027 |
Psychoed svc, per 15 min |
927 |
356 |
$84K |
| H0031 |
Mh health assess by non-md |
238 |
235 |
$52K |
| 99211 |
|
1,117 |
746 |
$7K |
| 86328 |
|
989 |
683 |
$7K |
| 0012A |
|
634 |
616 |
$5K |
| H0004 |
Alcohol and/or drug services |
288 |
156 |
$5K |
| 0011A |
|
630 |
623 |
$5K |
| 0013A |
|
90 |
90 |
$2K |
| 0004A |
|
30 |
30 |
$2K |
| 0124A |
|
45 |
45 |
$2K |
| 0003A |
|
27 |
27 |
$2K |
| 87426 |
|
94 |
89 |
$1K |
| 0064A |
|
32 |
32 |
$1K |
| T1002 |
Rn services up to 15 minutes |
99 |
66 |
$654.52 |
| 90471 |
|
56 |
53 |
$618.73 |
| 90674 |
|
34 |
34 |
$516.85 |
| 99212 |
|
89 |
75 |
$254.22 |
| 82947 |
|
69 |
66 |
$48.45 |
| T1003 |
Lpn/lvn services up to 15min |
35 |
25 |
$32.81 |
| 91301 |
|
834 |
811 |
$0.00 |
| 4037F |
|
29 |
29 |
$0.00 |
| 91300 |
|
29 |
28 |
$0.00 |
| 91312 |
|
20 |
20 |
$0.00 |