| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
338,852 |
67,925 |
$3.24M |
| 99214 |
|
32,975 |
29,418 |
$617K |
| H0004 |
Alcohol and/or drug services |
6,232 |
2,333 |
$525K |
| T1002 |
Rn services up to 15 minutes |
40,416 |
24,244 |
$512K |
| H0031 |
Mh health assess by non-md |
5,648 |
5,536 |
$472K |
| H2014 |
Skills train and dev, 15 min |
26,889 |
10,683 |
$183K |
| 99215 |
Prolong outpt/office vis |
3,685 |
3,422 |
$151K |
| H0038 |
Self-help/peer svc per 15min |
11,675 |
4,201 |
$133K |
| 90792 |
|
1,897 |
1,852 |
$97K |
| S5110 |
Family homecare training 15m |
4,379 |
2,530 |
$89K |
| S0215 |
Nonemerg transp mileage |
4,200 |
2,905 |
$61K |
| H2027 |
Psychoed svc, per 15 min |
8,142 |
5,586 |
$55K |
| H0034 |
Med trng & support per 15min |
14,999 |
1,130 |
$42K |
| A0120 |
Noner transport mini-bus |
3,592 |
2,512 |
$33K |
| 90833 |
|
246 |
238 |
$28K |
| 99347 |
|
787 |
558 |
$22K |
| A0110 |
Nonemergency transport bus |
4,070 |
3,395 |
$18K |
| H2025 |
Supp maint employ, 15 min |
4,125 |
2,797 |
$17K |
| 99348 |
|
1,345 |
987 |
$15K |
| 99213 |
|
1,491 |
1,345 |
$12K |
| H2017 |
Psysoc rehab svc, per 15 min |
337 |
206 |
$7K |
| 99350 |
Prolong home eval add 15m |
45 |
37 |
$5K |
| A0160 |
Noner transport case worker |
347 |
303 |
$2K |
| 99212 |
|
318 |
263 |
$2K |
| 36415 |
|
3,147 |
2,726 |
$2K |
| 93005 |
|
47 |
46 |
$217.07 |
| H0023 |
Alcohol and/or drug outreach |
28 |
16 |
$171.75 |
| H0025 |
Alcohol and/or drug preventi |
501 |
398 |
$19.52 |
| 99211 |
|
342 |
254 |
$0.00 |