| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
751,676 |
338,577 |
$35.38M |
| H0004 |
Alcohol and/or drug services |
282,916 |
120,125 |
$32.13M |
| H0031 |
Mh health assess by non-md |
44,823 |
41,707 |
$7.95M |
| H0018 |
Alcohol and/or drug services |
19,953 |
1,403 |
$6.16M |
| 99214 |
|
58,075 |
52,417 |
$5.00M |
| H0038 |
Self-help/peer svc per 15min |
39,092 |
18,705 |
$2.01M |
| 90837 |
|
11,746 |
6,136 |
$1.92M |
| 99213 |
|
24,947 |
22,841 |
$1.49M |
| S5110 |
Family homecare training 15m |
21,736 |
11,880 |
$1.30M |
| H2010 |
Comprehensive med svc 15 min |
79,313 |
5,358 |
$842K |
| 90792 |
|
4,066 |
3,907 |
$817K |
| 99215 |
Prolong outpt/office vis |
5,974 |
5,319 |
$732K |
| H2014 |
Skills train and dev, 15 min |
9,762 |
4,706 |
$395K |
| S0215 |
Nonemerg transp mileage |
15,598 |
6,033 |
$373K |
| H2011 |
Crisis interven svc, 15 min |
1,800 |
769 |
$333K |
| H0034 |
Med trng & support per 15min |
11,483 |
7,410 |
$259K |
| 90834 |
|
1,996 |
1,542 |
$221K |
| A0120 |
Noner transport mini-bus |
15,654 |
6,050 |
$217K |
| H0025 |
Alcohol and/or drug preventi |
15,029 |
10,802 |
$204K |
| H2027 |
Psychoed svc, per 15 min |
5,235 |
2,513 |
$199K |
| T1002 |
Rn services up to 15 minutes |
5,555 |
4,332 |
$172K |
| 90832 |
|
3,034 |
1,957 |
$155K |
| H0046 |
Mental health service, nos |
7,467 |
565 |
$149K |
| H0020 |
Alcohol and/or drug services |
20,298 |
5,183 |
$114K |
| T1019 |
Personal care ser per 15 min |
2,684 |
1,606 |
$102K |
| 96372 |
|
4,006 |
3,590 |
$68K |
| H0002 |
Alcohol and/or drug screenin |
2,374 |
2,234 |
$65K |
| 99204 |
|
457 |
438 |
$62K |
| 80305 |
|
5,451 |
3,843 |
$49K |
| T1003 |
Lpn/lvn services up to 15min |
1,652 |
1,237 |
$43K |
| 99212 |
|
1,236 |
1,168 |
$42K |
| 90833 |
|
542 |
465 |
$33K |
| 99358 |
Prolong nursin fac eval 15m |
324 |
309 |
$24K |
| H2025 |
Supp maint employ, 15 min |
549 |
155 |
$11K |
| 99203 |
|
127 |
124 |
$10K |
| 99349 |
|
70 |
62 |
$8K |
| 90853 |
|
316 |
176 |
$8K |
| 90471 |
|
353 |
312 |
$7K |
| 36415 |
|
2,287 |
2,029 |
$6K |
| 99205 |
Prolong outpt/office vis |
39 |
39 |
$6K |
| 99000 |
|
683 |
323 |
$6K |
| 90847 |
|
85 |
65 |
$6K |
| 90674 |
|
155 |
130 |
$2K |
| A0160 |
Noner transport case worker |
67 |
55 |
$1K |
| 99385 |
|
16 |
14 |
$1K |
| H2016 |
Comp comm supp svc, per diem |
94 |
78 |
$1K |
| A0110 |
Nonemergency transport bus |
608 |
575 |
$1K |
| 81025 |
|
85 |
64 |
$804.46 |
| 90653 |
|
19 |
14 |
$785.15 |
| 99354 |
|
25 |
24 |
$498.59 |
| 90656 |
|
46 |
36 |
$338.24 |
| 90715 |
|
14 |
13 |
$209.95 |
| 99211 |
|
31 |
29 |
$93.01 |
| T1013 |
Sign lang/oral interpreter |
68 |
65 |
$0.01 |
| G9920 |
Scrning perf and negative |
72 |
72 |
$0.00 |
| 93000 |
|
200 |
112 |
$0.00 |