| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
235,081 |
8,336 |
$34.18M |
| T1020 |
Personal care ser per diem |
235,056 |
8,336 |
$7.85M |
| T1017 |
Targeted case management |
52,839 |
27,573 |
$7.57M |
| H0018 |
Alcohol and/or drug services |
9,898 |
2,709 |
$4.34M |
| 90837 |
|
32,417 |
22,939 |
$2.74M |
| H2030 |
Mh clubhouse svc, per 15 min |
43,768 |
2,558 |
$1.93M |
| 90834 |
|
23,001 |
18,277 |
$1.47M |
| 99214 |
|
10,580 |
10,341 |
$689K |
| 99213 |
|
14,596 |
14,237 |
$638K |
| 90832 |
|
8,091 |
7,042 |
$383K |
| H0031 |
Mh health assess by non-md |
3,131 |
3,080 |
$342K |
| H0032 |
Mh svc plan dev by non-md |
3,546 |
3,513 |
$304K |
| 90792 |
|
1,789 |
1,777 |
$204K |
| T1002 |
Rn services up to 15 minutes |
6,633 |
4,246 |
$151K |
| 90791 |
|
1,444 |
1,414 |
$148K |
| S9976 |
Lodging per diem |
4,361 |
910 |
$137K |
| T1001 |
Nursing assessment/evaluatn |
1,629 |
1,627 |
$135K |
| H0038 |
Self-help/peer svc per 15min |
879 |
476 |
$93K |
| 96372 |
|
3,440 |
2,983 |
$39K |
| 99212 |
|
679 |
668 |
$34K |
| 99443 |
|
638 |
625 |
$24K |
| 99442 |
|
1,335 |
1,306 |
$23K |
| 99203 |
|
136 |
136 |
$14K |
| 90853 |
|
246 |
117 |
$6K |
| H0034 |
Med trng & support per 15min |
23 |
12 |
$3K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |