| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2014 |
Skills train and dev, 15 min |
53,867 |
13,265 |
$4.70M |
| T1016 |
Case management |
64,126 |
28,876 |
$3.32M |
| S5150 |
Unskilled respite care /15m |
11,399 |
4,377 |
$3.03M |
| H0004 |
Alcohol and/or drug services |
23,276 |
13,564 |
$2.86M |
| 99214 |
|
18,604 |
17,639 |
$2.02M |
| H0031 |
Mh health assess by non-md |
4,031 |
3,981 |
$1.17M |
| S5151 |
Unskilled respitecare /diem |
2,670 |
1,500 |
$689K |
| 99213 |
|
5,884 |
5,557 |
$344K |
| T1002 |
Rn services up to 15 minutes |
6,841 |
5,892 |
$226K |
| S0215 |
Nonemerg transp mileage |
5,420 |
2,618 |
$65K |
| 99215 |
Prolong outpt/office vis |
751 |
697 |
$62K |
| 90792 |
|
235 |
228 |
$59K |
| 90833 |
|
960 |
896 |
$37K |
| H0025 |
Alcohol and/or drug preventi |
1,138 |
509 |
$32K |
| 99212 |
|
765 |
719 |
$21K |
| H0038 |
Self-help/peer svc per 15min |
363 |
177 |
$10K |
| S5110 |
Family homecare training 15m |
145 |
47 |
$9K |
| 99443 |
|
634 |
607 |
$9K |
| A0120 |
Noner transport mini-bus |
1,284 |
810 |
$7K |
| A0090 |
Interest escort in non er |
1,599 |
971 |
$2K |
| A0100 |
Nonemergency transport taxi |
3,837 |
1,583 |
$1K |
| 99442 |
|
41 |
40 |
$438.34 |
| A0160 |
Noner transport case worker |
358 |
182 |
$54.25 |
| T1013 |
Sign lang/oral interpreter |
19 |
14 |
$0.00 |