| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
37,406 |
2,957 |
$2.48M |
| T1016 |
Case management, each 15 minutes |
11,384 |
2,922 |
$1.40M |
| T1017 |
Targeted case management, each 15 minutes |
994 |
811 |
$72K |
| S4993 |
Contraceptive pills for birth control |
358 |
276 |
$26K |
| H1010 |
Non-medical family planning education, per session |
488 |
458 |
$25K |
| S9484 |
Crisis intervention mental health services, per hour |
73 |
12 |
$15K |
| A4267 |
Contraceptive supply, condom, male, each |
133 |
130 |
$3K |
| 99211 |
|
207 |
199 |
$2K |
| 99203 |
|
27 |
27 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
62 |
61 |
$373.92 |
| A4268 |
Contraceptive supply, condom, female, each |
37 |
37 |
$371.52 |
| 99212 |
|
13 |
13 |
$344.11 |
| 99000 |
|
51 |
50 |
$180.60 |
| 81025 |
|
13 |
13 |
$111.93 |
| 92507 |
|
47 |
24 |
$0.00 |