| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
397,611 |
223,195 |
$20.90M |
| H0031 |
Mh health assess by non-md |
74,556 |
68,804 |
$12.87M |
| H0004 |
Alcohol and/or drug services |
103,437 |
40,324 |
$8.24M |
| H0015 |
Alcohol and/or drug services |
26,838 |
5,369 |
$3.85M |
| 99214 |
|
43,617 |
39,179 |
$3.28M |
| H2011 |
Crisis interven svc, 15 min |
43,552 |
31,851 |
$1.54M |
| 90792 |
|
8,944 |
8,544 |
$1.45M |
| 99213 |
|
24,519 |
22,032 |
$1.31M |
| 90837 |
|
6,958 |
3,773 |
$1.21M |
| H2014 |
Skills train and dev, 15 min |
38,327 |
23,936 |
$1.01M |
| S5110 |
Family homecare training 15m |
20,001 |
12,482 |
$831K |
| H0038 |
Self-help/peer svc per 15min |
8,938 |
4,504 |
$385K |
| H0025 |
Alcohol and/or drug preventi |
32,376 |
26,978 |
$380K |
| H2016 |
Comp comm supp svc, per diem |
940 |
160 |
$330K |
| S0215 |
Nonemerg transp mileage |
9,676 |
5,342 |
$292K |
| H0002 |
Alcohol and/or drug screenin |
7,088 |
6,605 |
$193K |
| T1002 |
Rn services up to 15 minutes |
4,775 |
4,158 |
$113K |
| A0120 |
Noner transport mini-bus |
9,266 |
5,195 |
$96K |
| H2027 |
Psychoed svc, per 15 min |
1,586 |
922 |
$73K |
| 90834 |
|
581 |
426 |
$70K |
| 96372 |
|
4,632 |
3,613 |
$60K |
| 99385 |
|
388 |
385 |
$41K |
| 90832 |
|
346 |
278 |
$33K |
| 99212 |
|
595 |
547 |
$20K |
| A0160 |
Noner transport case worker |
498 |
388 |
$19K |
| 90833 |
|
333 |
304 |
$19K |
| T1013 |
Sign lang/oral interpreter |
22,894 |
12,897 |
$15K |
| 99211 |
|
885 |
791 |
$12K |
| H0034 |
Med trng & support per 15min |
925 |
826 |
$10K |
| 36415 |
|
1,758 |
1,651 |
$8K |
| 99203 |
|
105 |
102 |
$8K |
| H2025 |
Supp maint employ, 15 min |
347 |
201 |
$8K |
| 99215 |
Prolong outpt/office vis |
56 |
53 |
$6K |
| 87635 |
|
113 |
89 |
$5K |
| S9484 |
Crisis intervention per hour |
265 |
126 |
$5K |
| H0001 |
Alcohol and/or drug assess |
84 |
81 |
$3K |
| 99204 |
|
24 |
21 |
$3K |
| 80307 |
|
37 |
37 |
$2K |
| 0064A |
|
39 |
34 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| T1019 |
Personal care ser per 15 min |
50 |
31 |
$2K |
| 99396 |
|
12 |
12 |
$1K |
| 90471 |
|
80 |
72 |
$1K |
| 93000 |
|
84 |
81 |
$1K |
| 0011A |
|
36 |
36 |
$1K |
| 90853 |
|
29 |
14 |
$1K |
| 90682 |
|
13 |
13 |
$816.80 |
| 0012A |
|
18 |
18 |
$523.27 |
| 87804 |
|
15 |
12 |
$211.07 |
| 87880 |
|
14 |
12 |
$190.69 |
| J1885 |
Ketorolac tromethamine inj |
67 |
49 |
$106.36 |
| J1100 |
Dexamethasone sodium phos |
76 |
69 |
$65.63 |
| 81002 |
|
18 |
16 |
$44.20 |
| 82962 |
|
28 |
24 |
$34.95 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$25.50 |
| G9920 |
Scrning perf and negative |
159 |
159 |
$0.00 |
| 91301 |
|
39 |
36 |
$0.00 |