| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
294,228 |
109,814 |
$10.65M |
| H0004 |
Alcohol and/or drug services |
104,083 |
46,377 |
$8.25M |
| H0031 |
Mh health assess by non-md |
21,877 |
18,918 |
$3.29M |
| S5110 |
Family homecare training 15m |
23,378 |
14,388 |
$651K |
| 99214 |
|
8,615 |
8,023 |
$651K |
| S0215 |
Nonemerg transp mileage |
14,613 |
6,108 |
$411K |
| A0120 |
Noner transport mini-bus |
14,570 |
6,066 |
$167K |
| 99215 |
Prolong outpt/office vis |
1,314 |
1,152 |
$110K |
| 99213 |
|
2,102 |
1,961 |
$96K |
| 90792 |
|
333 |
324 |
$59K |
| H0038 |
Self-help/peer svc per 15min |
1,170 |
560 |
$34K |
| 99212 |
|
587 |
566 |
$18K |
| H2027 |
Psychoed svc, per 15 min |
438 |
211 |
$18K |
| S5150 |
Unskilled respite care /15m |
102 |
12 |
$4K |
| 90791 |
|
15 |
15 |
$3K |
| T1019 |
Personal care ser per 15 min |
76 |
24 |
$2K |
| H0025 |
Alcohol and/or drug preventi |
133 |
105 |
$1K |
| 90832 |
|
18 |
12 |
$1K |
| H2025 |
Supp maint employ, 15 min |
30 |
12 |
$728.58 |
| T1003 |
Lpn/lvn services up to 15min |
29 |
28 |
$480.96 |
| T1013 |
Sign lang/oral interpreter |
168 |
105 |
$47.73 |
| A0160 |
Noner transport case worker |
71 |
63 |
$0.00 |