| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
404,004 |
16,940 |
$32.14M |
| T1016 |
Case management |
76,839 |
19,639 |
$6.17M |
| H0039 |
Asser com tx face-face/15min |
123,030 |
4,264 |
$2.39M |
| S9484 |
Crisis intervention per hour |
57,208 |
8,431 |
$1.99M |
| A9999 |
Dme supply or accessory, nos |
3,340 |
2,797 |
$601K |
| T1017 |
Targeted case management |
8,937 |
6,649 |
$475K |
| T2028 |
Special supply, nos waiver |
1,335 |
1,069 |
$441K |
| 99214 |
|
10,659 |
9,202 |
$236K |
| S5190 |
Wellness assessment by nonph |
900 |
789 |
$181K |
| 90834 |
|
4,978 |
2,169 |
$175K |
| S9485 |
Crisis intervention mental h |
2,640 |
282 |
$168K |
| T1999 |
Noc retail items andsupplies |
711 |
584 |
$131K |
| H2011 |
Crisis interven svc, 15 min |
1,415 |
1,246 |
$100K |
| E0700 |
Safety equipment |
199 |
179 |
$61K |
| 99443 |
|
3,715 |
2,755 |
$47K |
| 90837 |
|
801 |
400 |
$27K |
| 99211 |
|
755 |
581 |
$6K |
| 83655 |
|
741 |
580 |
$4K |
| 99213 |
|
69 |
67 |
$2K |
| 36416 |
|
725 |
566 |
$2K |
| 96372 |
|
5,169 |
3,001 |
$637.56 |
| 99442 |
|
18 |
13 |
$192.36 |