| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
296,446 |
11,663 |
$63.16M |
| T1020 |
Personal care ser per diem |
296,554 |
11,665 |
$33.59M |
| H2015 |
Comp comm supp svc, 15 min |
293,953 |
16,087 |
$20.61M |
| H2014 |
Skills train and dev, 15 min |
35,724 |
3,363 |
$3.96M |
| 97153 |
|
9,157 |
802 |
$1.43M |
| T1016 |
Case management |
4,566 |
4,158 |
$864K |
| T2022 |
Case management, per month |
2,006 |
2,006 |
$489K |
| 0365T |
|
4,405 |
322 |
$467K |
| S9976 |
Lodging per diem |
11,272 |
376 |
$320K |
| H2023 |
Supported employ, per 15 min |
3,549 |
846 |
$311K |
| 97155 |
|
2,583 |
666 |
$307K |
| H2025 |
Supp maint employ, 15 min |
1,338 |
689 |
$263K |
| 0364T |
|
3,495 |
266 |
$96K |
| H0043 |
Supported housing, per diem |
402 |
14 |
$62K |
| H0036 |
Comm psy face-face per 15min |
68 |
24 |
$61K |
| 0369T |
|
560 |
224 |
$57K |
| T1017 |
Targeted case management |
170 |
111 |
$54K |
| 0368T |
|
737 |
196 |
$46K |
| H2030 |
Mh clubhouse svc, per 15 min |
193 |
24 |
$43K |
| H0039 |
Asser com tx face-face/15min |
103 |
17 |
$19K |
| T1002 |
Rn services up to 15 minutes |
71 |
47 |
$18K |
| H0031 |
Mh health assess by non-md |
50 |
43 |
$18K |
| H0038 |
Self-help/peer svc per 15min |
46 |
20 |
$17K |
| 90837 |
|
68 |
38 |
$11K |
| T1001 |
Nursing assessment/evaluatn |
54 |
53 |
$11K |
| H0032 |
Mh svc plan dev by non-md |
32 |
26 |
$7K |
| T1005 |
Respite care service 15 min |
115 |
23 |
$6K |
| 0359T |
|
12 |
12 |
$5K |
| 0370T |
|
32 |
24 |
$4K |
| 99215 |
Prolong outpt/office vis |
23 |
23 |
$4K |
| 99214 |
|
34 |
34 |
$3K |
| T1023 |
Program intake assessment |
14 |
12 |
$3K |
| T2003 |
N-et; encounter/trip |
14 |
14 |
$2K |
| 90853 |
|
37 |
18 |
$2K |
| 99213 |
|
29 |
26 |
$2K |
| T2025 |
Waiver service, nos |
15 |
15 |
$2K |
| 90834 |
|
17 |
14 |
$2K |
| 90832 |
|
18 |
13 |
$1K |
| H2000 |
Comp multidisipln evaluation |
19 |
15 |
$1K |
| 97156 |
|
15 |
12 |
$1K |
| 96372 |
|
63 |
55 |
$344.02 |