| Code | Description | Claims | Beneficiaries | Total Paid |
| T2022 |
Case management, per month |
5,515 |
5,465 |
$275K |
| H0046 |
Mental health services, not otherwise specified |
3,916 |
3,381 |
$256K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
712 |
703 |
$81K |
| 99456 |
|
230 |
229 |
$34K |
| S5170 |
Home delivered meals, including preparation; per meal |
472 |
75 |
$14K |
| S5130 |
Homemaker service, nos; per 15 minutes |
66 |
12 |
$7K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
40 |
35 |
$6K |
| T2003 |
Non-emergency transportation; encounter/trip |
119 |
19 |
$6K |
| S5175 |
Laundry service, external, professional; per order |
155 |
39 |
$4K |
| G0175 |
Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present |
260 |
250 |
$2K |