| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
320,510 |
21,531 |
$5.03M |
| 97530 |
|
55,973 |
11,506 |
$383K |
| 92508 |
|
99,441 |
23,798 |
$302K |
| 92523 |
|
7,527 |
3,118 |
$229K |
| A0425 |
Ground mileage, per statute mile |
39,652 |
1,920 |
$210K |
| 92507 |
|
23,331 |
6,672 |
$205K |
| 90832 |
|
8,041 |
3,074 |
$123K |
| 97799 |
|
10,564 |
1,891 |
$101K |
| T1002 |
Rn services, up to 15 minutes |
6,648 |
493 |
$63K |
| T2003 |
Non-emergency transportation; encounter/trip |
9,628 |
921 |
$35K |
| 97110 |
|
3,524 |
1,039 |
$20K |
| 97112 |
|
2,186 |
401 |
$15K |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
476 |
211 |
$11K |
| V2799 |
Vision item or service, miscellaneous |
615 |
150 |
$10K |
| H0046 |
Mental health services, not otherwise specified |
130 |
13 |
$1K |
| 97167 |
|
93 |
39 |
$1K |
| 92522 |
|
19 |
12 |
$178.28 |
| 97001 |
|
1,219 |
392 |
$0.00 |
| 97003 |
|
3,626 |
1,429 |
$0.00 |