| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Com wrap-around sv, per diem |
20,792 |
2,483 |
$4.82M |
| T2013 |
Habil ed waiver per hour |
27,607 |
1,284 |
$4.65M |
| H2015 |
Comp comm supp svc, 15 min |
25,230 |
3,570 |
$3.71M |
| H2012 |
Behav hlth day treat, per hr |
16,634 |
1,397 |
$2.41M |
| S9484 |
Crisis intervention per hour |
3,969 |
454 |
$2.16M |
| H2011 |
Crisis interven svc, 15 min |
10,001 |
3,926 |
$2.14M |
| 90834 |
|
25,205 |
12,622 |
$1.40M |
| 99214 |
|
18,153 |
12,736 |
$1.36M |
| T1017 |
Targeted case management |
4,612 |
2,859 |
$1.31M |
| T2016 |
Habil res waiver per diem |
8,655 |
613 |
$1.28M |
| H0038 |
Self-help/peer svc per 15min |
7,148 |
1,803 |
$778K |
| H2017 |
Psysoc rehab svc, per 15 min |
4,832 |
422 |
$290K |
| Q3014 |
Telehealth facility fee |
14,498 |
10,816 |
$232K |
| H0015 |
Alcohol and/or drug services |
1,540 |
246 |
$228K |
| 90837 |
|
1,323 |
778 |
$141K |
| S5150 |
Unskilled respite care /15m |
1,359 |
175 |
$124K |
| 90791 |
|
1,008 |
806 |
$115K |
| 90832 |
|
2,590 |
1,261 |
$113K |
| 99213 |
|
2,170 |
1,702 |
$109K |
| 99205 |
Prolong outpt/office vis |
514 |
426 |
$68K |
| 99215 |
Prolong outpt/office vis |
439 |
346 |
$42K |
| 90853 |
|
281 |
181 |
$13K |
| T2013TF |
|
64 |
14 |
$11K |
| H0045 |
Respite not-in-home per diem |
158 |
36 |
$10K |
| 96101 |
|
44 |
24 |
$5K |
| 99443 |
|
168 |
161 |
$5K |
| 96137 |
|
72 |
49 |
$4K |
| 98968 |
|
74 |
47 |
$2K |
| 96136 |
|
76 |
41 |
$2K |
| 96130 |
|
28 |
12 |
$2K |