| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
24,082 |
1,387 |
$3.19M |
| H0004 |
Alcohol and/or drug services |
36,273 |
884 |
$1.32M |
| T1019 |
Personal care ser per 15 min |
32,921 |
1,532 |
$817K |
| 96152 |
|
18,325 |
406 |
$594K |
| 92507 |
|
7,610 |
3,725 |
$223K |
| A0080 |
Noninterest escort in non er |
41,925 |
4,169 |
$153K |
| 92508 |
|
11,510 |
4,954 |
$107K |
| H2019 |
Ther behav svc, per 15 min |
1,310 |
781 |
$89K |
| T2001 |
N-et; patient attend/escort |
14,895 |
1,998 |
$84K |
| 97110 |
|
929 |
355 |
$44K |
| 92523 |
|
194 |
194 |
$34K |
| 96131 |
|
110 |
110 |
$28K |
| 96130 |
|
275 |
275 |
$28K |
| H0032 |
Mh svc plan dev by non-md |
575 |
310 |
$20K |
| T1028 |
Home environment assessment |
355 |
347 |
$10K |
| 97530 |
|
161 |
82 |
$6K |
| 96150 |
|
63 |
58 |
$4K |
| T1001 |
Nursing assessment/evaluatn |
46 |
46 |
$2K |
| 96136 |
|
52 |
52 |
$2K |
| 96137 |
|
12 |
12 |
$1K |