| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5145 |
Child fostercare th per diem |
144,789 |
8,446 |
$14.49M |
| H2012 |
Behav hlth day treat, per hr |
134,149 |
9,756 |
$13.53M |
| H0004 |
Alcohol and/or drug services |
37,144 |
7,962 |
$4.49M |
| H0036 |
Comm psy face-face per 15min |
50,627 |
11,524 |
$4.28M |
| H2017 |
Psysoc rehab svc, per 15 min |
42,834 |
10,160 |
$2.85M |
| H2014 |
Skills train and dev, 15 min |
8,029 |
3,516 |
$1.09M |
| H0038 |
Self-help/peer svc per 15min |
16,470 |
5,270 |
$944K |
| 99214 |
|
2,432 |
2,065 |
$623K |
| H2015 |
Comp comm supp svc, 15 min |
2,788 |
1,220 |
$514K |
| 90791 |
|
2,684 |
1,200 |
$490K |
| 99213 |
|
1,430 |
1,107 |
$359K |
| S5150 |
Unskilled respite care /15m |
3,792 |
1,609 |
$335K |
| H0041 |
Fos c chld non-ther per diem |
12,945 |
760 |
$300K |
| S5151 |
Unskilled respitecare /diem |
718 |
246 |
$204K |
| H0040 |
Assert comm tx pgm per diem |
96 |
96 |
$135K |
| 99212 |
|
702 |
553 |
$129K |
| 99215 |
Prolong outpt/office vis |
203 |
197 |
$50K |
| H2011 |
Crisis interven svc, 15 min |
295 |
217 |
$41K |
| 96160 |
|
670 |
625 |
$40K |
| 90882 |
|
424 |
236 |
$24K |
| 90834 |
|
41 |
28 |
$5K |