| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Alcohol and/or drug services |
4,180 |
2,990 |
$44.47M |
| H2030 |
Mh clubhouse svc, per 15 min |
250,086 |
32,509 |
$28.02M |
| H2010 |
Comprehensive med svc 15 min |
220,947 |
192,069 |
$27.66M |
| H0004 |
Alcohol and/or drug services |
174,067 |
81,044 |
$13.50M |
| H2033 |
Multisys ther/juvenile 15min |
13,747 |
3,222 |
$6.36M |
| T1020 |
Personal care ser per diem |
4,178 |
2,990 |
$5.56M |
| H2018 |
Psysoc rehab svc, per diem |
56,474 |
2,063 |
$4.81M |
| G9012 |
Other specified case mgmt |
40,778 |
9,086 |
$2.94M |
| H2021 |
Com wrap-around sv, 15 min |
14,183 |
1,962 |
$2.43M |
| T1017 |
Targeted case management |
35,370 |
8,243 |
$2.28M |
| H2015 |
Comp comm supp svc, 15 min |
26,318 |
7,184 |
$1.69M |
| H2000 |
Comp multidisipln evaluation |
7,272 |
6,982 |
$734K |
| T2022 |
Case management, per month |
2,023 |
1,616 |
$655K |
| H0047 |
Alcohol/drug abuse svc nos |
2,233 |
1,818 |
$594K |
| 99408 |
|
2,235 |
1,818 |
$579K |
| 99214 |
|
15,279 |
14,006 |
$206K |
| H2019 |
Ther behav svc, per 15 min |
2,534 |
969 |
$197K |
| G9007 |
Mccd, sch team conf |
2,491 |
820 |
$181K |
| 99213 |
|
7,623 |
7,224 |
$85K |
| 99443 |
|
3,553 |
3,323 |
$53K |
| 90837 |
|
1,157 |
606 |
$11K |
| 99442 |
|
341 |
332 |
$8K |
| T1012 |
Alcohol/substance abuse skil |
12 |
12 |
$6K |
| 96112 |
|
45 |
44 |
$4K |
| 90792 |
|
53 |
47 |
$798.76 |
| 98967 |
|
25 |
23 |
$45.54 |
| 90791 |
|
13 |
12 |
$19.58 |
| 98968 |
|
296 |
247 |
$0.00 |
| 90785 |
|
98 |
59 |
$0.00 |