| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
23,844 |
4,573 |
$2.45M |
| S5145 |
Child fostercare th per diem |
58,967 |
2,075 |
$2.42M |
| H0036 |
Comm psy face-face per 15min |
23,082 |
3,759 |
$2.21M |
| H2017 |
Psysoc rehab svc, per 15 min |
14,089 |
2,286 |
$1.27M |
| H0041 |
Fos c chld non-ther per diem |
44,227 |
1,542 |
$615K |
| H2012 |
Behav hlth day treat, per hr |
3,310 |
476 |
$259K |
| 90791 |
|
1,110 |
421 |
$205K |
| 90832 |
|
2,522 |
1,054 |
$193K |
| 99393 |
|
913 |
764 |
$91K |
| H2014 |
Skills train and dev, 15 min |
221 |
71 |
$78K |
| H2015 |
Comp comm supp svc, 15 min |
129 |
38 |
$63K |
| S5150 |
Unskilled respite care /15m |
663 |
217 |
$45K |
| 90837 |
|
326 |
170 |
$44K |
| 99394 |
|
96 |
78 |
$9K |
| 87426 |
|
86 |
60 |
$4K |
| 90460 |
|
73 |
68 |
$1K |
| 90853 |
|
16 |
13 |
$493.50 |
| G2023 |
Specimen collect covid-19 |
20 |
18 |
$469.20 |
| 90688 |
|
75 |
75 |
$0.00 |