| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
29,820 |
10,698 |
$1.64M |
| H0031 |
Mh health assess by non-md |
15,729 |
12,666 |
$1.56M |
| S9485 |
Crisis intervention mental h |
6,705 |
3,040 |
$948K |
| T1016 |
Case management |
123,251 |
36,193 |
$796K |
| 99214 |
|
10,008 |
8,994 |
$394K |
| 90833 |
|
3,577 |
3,330 |
$219K |
| S9484 |
Crisis intervention per hour |
1,454 |
1,186 |
$55K |
| H2027 |
Psychoed svc, per 15 min |
2,370 |
1,148 |
$53K |
| H0038 |
Self-help/peer svc per 15min |
4,905 |
2,023 |
$49K |
| H0023 |
Alcohol and/or drug outreach |
1,629 |
1,112 |
$46K |
| 99213 |
|
2,179 |
2,013 |
$43K |
| H2014 |
Skills train and dev, 15 min |
4,231 |
1,985 |
$37K |
| 99215 |
Prolong outpt/office vis |
385 |
348 |
$25K |
| S0215 |
Nonemerg transp mileage |
13,583 |
4,540 |
$16K |
| T1002 |
Rn services up to 15 minutes |
4,178 |
2,553 |
$10K |
| A0120 |
Noner transport mini-bus |
10,979 |
3,288 |
$10K |
| H2025 |
Supp maint employ, 15 min |
71 |
45 |
$5K |
| H2011 |
Crisis interven svc, 15 min |
78 |
72 |
$5K |
| 90792 |
|
71 |
68 |
$5K |
| 99212 |
|
227 |
187 |
$2K |
| S5110 |
Family homecare training 15m |
22 |
14 |
$2K |
| T1003 |
Lpn/lvn services up to 15min |
2,758 |
1,171 |
$2K |
| 90889 |
|
96 |
86 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| A0100 |
Nonemergency transport taxi |
2,084 |
1,566 |
$328.62 |
| 99211 |
|
13 |
12 |
$180.38 |
| H0025 |
Alcohol and/or drug preventi |
19 |
17 |
$0.00 |
| T1019 |
Personal care ser per 15 min |
362 |
27 |
$0.00 |