| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
70,551 |
4,214 |
$10.17M |
| 96152 |
|
132,876 |
2,556 |
$6.74M |
| T1019 |
Personal care ser per 15 min |
76,125 |
5,935 |
$4.92M |
| H2014 |
Skills train and dev, 15 min |
107,833 |
5,149 |
$4.13M |
| H2017 |
Psysoc rehab svc, per 15 min |
22,408 |
1,343 |
$2.71M |
| 92507 |
|
46,615 |
22,364 |
$763K |
| H0005 |
Alcohol and/or drug services |
22,424 |
1,303 |
$698K |
| 97530 |
|
16,861 |
8,500 |
$676K |
| 99412 |
|
21,269 |
938 |
$620K |
| 97110 |
|
13,756 |
6,924 |
$574K |
| 92508 |
|
69,512 |
30,002 |
$368K |
| 96131 |
|
2,068 |
2,055 |
$339K |
| 96153 |
|
18,039 |
643 |
$298K |
| 96130 |
|
2,723 |
2,686 |
$278K |
| 96137 |
|
2,010 |
2,003 |
$225K |
| 92523 |
|
1,669 |
1,669 |
$198K |
| H2019 |
Ther behav svc, per 15 min |
2,231 |
967 |
$130K |
| 96101 |
|
1,014 |
637 |
$101K |
| 96136 |
|
2,433 |
2,419 |
$94K |
| T1001 |
Nursing assessment/evaluatn |
1,616 |
1,614 |
$83K |
| 96150 |
|
1,285 |
818 |
$52K |
| 97166 |
|
206 |
206 |
$17K |
| G9002 |
Mccd,maintenance rate |
225 |
225 |
$14K |
| H2000 |
Comp multidisipln evaluation |
475 |
321 |
$13K |
| T1028 |
Home environment assessment |
274 |
265 |
$8K |
| V5008 |
Hearing screening |
119 |
74 |
$5K |
| 92522 |
|
52 |
52 |
$5K |
| 97150 |
|
31 |
24 |
$206.80 |