| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
3,272 |
2,847 |
$25.93M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
10,024 |
950 |
$2K |
| T2025 |
Waiver services; not otherwise specified (nos) |
256 |
99 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
17,766 |
1,800 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
190 |
129 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
12 |
$0.00 |
| H2011 |
Crisis intervention service, per 15 minutes |
29 |
12 |
$0.00 |
| S5140 |
Foster care, adult; per diem |
60,821 |
1,698 |
$0.00 |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
3,026 |
410 |
$0.00 |
| S5151 |
Unskilled respite care, not hospice; per diem |
4,661 |
886 |
$0.00 |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
5,571 |
805 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
389 |
260 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
125 |
$0.00 |