| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2010 |
Comprehensive med svc 15 min |
77,309 |
6,788 |
$929K |
| T1002 |
Rn services up to 15 minutes |
24,831 |
6,005 |
$413K |
| H0020 |
Alcohol and/or drug services |
108,819 |
6,804 |
$374K |
| T1016 |
Case management |
14,980 |
6,993 |
$249K |
| H0031 |
Mh health assess by non-md |
1,723 |
1,658 |
$235K |
| H0004 |
Alcohol and/or drug services |
4,356 |
2,691 |
$226K |
| S0215 |
Nonemerg transp mileage |
11,457 |
1,344 |
$115K |
| 99214 |
|
1,122 |
1,024 |
$82K |
| 99213 |
|
901 |
827 |
$57K |
| A0120 |
Noner transport mini-bus |
11,528 |
1,355 |
$27K |
| 99215 |
Prolong outpt/office vis |
169 |
166 |
$12K |
| H0038 |
Self-help/peer svc per 15min |
687 |
453 |
$11K |
| T1003 |
Lpn/lvn services up to 15min |
1,230 |
687 |
$9K |
| H0033 |
Oral med adm direct observe |
176 |
26 |
$3K |
| H2014 |
Skills train and dev, 15 min |
387 |
187 |
$2K |
| 99212 |
|
43 |
38 |
$0.00 |