| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
32,429 |
10,587 |
$1.32M |
| T1016 |
Case management |
32,271 |
10,652 |
$80K |
| H0031 |
Mh health assess by non-md |
1,804 |
1,728 |
$17K |
| T1015 |
Clinic service |
42 |
42 |
$7K |
| 99214 |
|
1,037 |
953 |
$6K |
| H2019 |
Ther behav svc, per 15 min |
2,362 |
303 |
$4K |
| H0038 |
Self-help/peer svc per 15min |
511 |
224 |
$2K |
| 99213 |
|
627 |
586 |
$2K |
| 90792 |
|
463 |
432 |
$1K |
| A0110 |
Nonemergency transport bus |
2,434 |
995 |
$275.60 |
| T1013 |
Sign lang/oral interpreter |
69 |
56 |
$114.33 |
| S0215 |
Nonemerg transp mileage |
1,300 |
170 |
$90.88 |
| H0002 |
Alcohol and/or drug screenin |
27 |
27 |
$61.40 |
| T1002 |
Rn services up to 15 minutes |
16 |
15 |
$56.76 |
| A0120 |
Noner transport mini-bus |
1,413 |
174 |
$26.56 |
| S5110 |
Family homecare training 15m |
49 |
46 |
$0.00 |
| H2020 |
Ther behav svc, per diem |
304 |
67 |
$0.00 |