| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
12,355 |
8,319 |
$3.68M |
| H2022 |
Com wrap-around sv, per diem |
8,383 |
1,049 |
$2.23M |
| H0038 |
Self-help/peer svc per 15min |
18,632 |
3,585 |
$1.76M |
| H2015 |
Comp comm supp svc, 15 min |
5,755 |
927 |
$907K |
| 99213 |
|
3,256 |
2,832 |
$222K |
| 90791 |
|
1,746 |
1,543 |
$218K |
| H0015 |
Alcohol and/or drug services |
983 |
127 |
$173K |
| H0040 |
Assert comm tx pgm per diem |
551 |
93 |
$148K |
| H2011 |
Crisis interven svc, 15 min |
370 |
226 |
$141K |
| 90853 |
|
2,961 |
1,354 |
$122K |
| H2023 |
Supported employ, per 15 min |
660 |
141 |
$117K |
| 99214 |
|
1,094 |
763 |
$94K |
| S9480 |
Intensive outpatient psychia |
240 |
226 |
$75K |
| T2016 |
Habil res waiver per diem |
91 |
69 |
$32K |
| T1016 |
Case management |
300 |
128 |
$15K |
| 99204 |
|
94 |
70 |
$15K |
| 90834 |
|
154 |
117 |
$10K |
| 99211 |
|
695 |
537 |
$10K |
| 90832 |
|
26 |
26 |
$1K |
| 99212 |
|
13 |
12 |
$463.01 |
| YM120 |
|
21 |
12 |
$0.00 |