| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2025 |
Waiver service, nos |
152,160 |
9,165 |
$11.89M |
| H2015 |
Comp comm supp svc, 15 min |
40,745 |
23,249 |
$2.52M |
| H2017 |
Psysoc rehab svc, per 15 min |
29,091 |
10,642 |
$1.64M |
| H0031 |
Mh health assess by non-md |
15,666 |
15,029 |
$1.55M |
| 90834 |
|
16,589 |
12,664 |
$1.08M |
| 99213 |
|
22,163 |
18,415 |
$1.03M |
| T1016 |
Case management |
17,163 |
6,363 |
$1.02M |
| 90792 |
|
8,417 |
7,791 |
$936K |
| T1003 |
Lpn/lvn services up to 15min |
23,334 |
18,981 |
$572K |
| 90837 |
|
5,920 |
4,700 |
$541K |
| H0038 |
Self-help/peer svc per 15min |
6,293 |
723 |
$448K |
| 90832 |
|
11,981 |
9,329 |
$421K |
| 99214 |
|
5,507 |
4,629 |
$371K |
| H2014 |
Skills train and dev, 15 min |
17,224 |
3,764 |
$359K |
| T1001 |
Nursing assessment/evaluatn |
6,873 |
6,620 |
$354K |
| H2011 |
Crisis interven svc, 15 min |
1,342 |
1,222 |
$191K |
| T2028 |
Special supply, nos waiver |
1,089 |
976 |
$169K |
| 99215 |
Prolong outpt/office vis |
639 |
620 |
$102K |
| Q3014 |
Telehealth facility fee |
6,845 |
6,414 |
$99K |
| 99212 |
|
2,275 |
2,168 |
$94K |
| H0004 |
Alcohol and/or drug services |
3,141 |
966 |
$89K |
| 90791 |
|
844 |
560 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 99232 |
|
22 |
12 |
$900.84 |