| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
8,316 |
8,063 |
$23.77M |
| T2020 |
Day habilitation, waiver; per diem |
6,898 |
5,252 |
$5.32M |
| H2016 |
Comprehensive community support services, per diem |
30,937 |
3,511 |
$2.43M |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
7,650 |
7,529 |
$2.37M |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,793 |
5,351 |
$1.15M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
11,850 |
4,552 |
$953K |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
933 |
820 |
$777K |
| 90863 |
|
6,206 |
5,357 |
$558K |
| T2014 |
Habilitation, prevocational, waiver; per diem |
1,451 |
1,425 |
$545K |
| 90791 |
Psychiatric diagnostic evaluation |
2,556 |
1,784 |
$271K |
| T2018 |
Habilitation, supported employment, waiver; per diem |
2,222 |
2,192 |
$253K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
2,661 |
603 |
$137K |
| W0037 |
|
1,715 |
1,715 |
$122K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
2,415 |
2,363 |
$103K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
631 |
79 |
$48K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
551 |
298 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,304 |
1,197 |
$32K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
312 |
92 |
$29K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
873 |
166 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,325 |
1,184 |
$24K |
| T2035 |
Utility services to support medical equipment and assistive technology/devices, waiver |
800 |
401 |
$16K |
| H0001 |
Alcohol and/or drug assessment |
108 |
92 |
$15K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
477 |
433 |
$9K |
| 99442 |
|
116 |
101 |
$4K |
| 99443 |
|
15 |
15 |
$1K |
| T2025 |
Waiver services; not otherwise specified (nos) |
79 |
77 |
$754.38 |
| 90837 |
Psychotherapy, 53 minutes with patient |
20 |
12 |
$479.79 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
15 |
13 |
$0.00 |