| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2025 |
Waiver service, nos |
217,983 |
10,196 |
$18.40M |
| T2033 |
Res, nos waiver per diem |
63,475 |
2,146 |
$13.85M |
| T2015 |
Habil prevoc waiver per hr |
27,517 |
1,977 |
$1.10M |
| H2017 |
Psysoc rehab svc, per 15 min |
14,665 |
1,789 |
$1.04M |
| H0031 |
Mh health assess by non-md |
10,542 |
9,988 |
$666K |
| 90792 |
|
4,279 |
4,162 |
$538K |
| 99213 |
|
8,142 |
7,896 |
$431K |
| 99214 |
|
5,639 |
5,435 |
$431K |
| 90837 |
|
3,230 |
2,523 |
$289K |
| T2028 |
Special supply, nos waiver |
1,608 |
1,506 |
$267K |
| 90791 |
|
2,057 |
1,980 |
$204K |
| 90834 |
|
3,055 |
2,614 |
$203K |
| T1016 |
Case management |
3,776 |
1,894 |
$189K |
| 90832 |
|
5,130 |
4,118 |
$189K |
| H0032 |
Mh svc plan dev by non-md |
6,889 |
6,553 |
$181K |
| H0039 |
Asser com tx face-face/15min |
2,502 |
622 |
$141K |
| 99212 |
|
3,525 |
3,448 |
$125K |
| H2015 |
Comp comm supp svc, 15 min |
3,172 |
1,699 |
$114K |
| H0004 |
Alcohol and/or drug services |
3,332 |
815 |
$105K |
| H0038 |
Self-help/peer svc per 15min |
2,085 |
260 |
$105K |
| T1001 |
Nursing assessment/evaluatn |
2,403 |
2,309 |
$101K |
| H2010 |
Comprehensive med svc 15 min |
3,896 |
3,403 |
$85K |
| H2014 |
Skills train and dev, 15 min |
3,832 |
1,029 |
$74K |
| 99239 |
|
702 |
681 |
$54K |
| 99233 |
Prolong inpt eval add15 m |
770 |
482 |
$54K |
| 99215 |
Prolong outpt/office vis |
311 |
301 |
$36K |
| 99232 |
|
308 |
142 |
$17K |
| H0018 |
Alcohol and/or drug services |
76 |
12 |
$15K |
| T1003 |
Lpn/lvn services up to 15min |
190 |
176 |
$4K |
| T1002 |
Rn services up to 15 minutes |
57 |
55 |
$2K |
| 90833 |
|
16 |
12 |
$502.88 |
| H0025 |
Alcohol and/or drug preventi |
27 |
12 |
$320.10 |
| 90785 |
|
49 |
37 |
$177.87 |