| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
70,783 |
45,739 |
$15.46M |
| T1016 |
Case management |
211,226 |
80,079 |
$1.81M |
| H0004 |
Alcohol and/or drug services |
72,270 |
32,879 |
$1.27M |
| H2010 |
Comprehensive med svc 15 min |
123,185 |
8,405 |
$911K |
| H0031 |
Mh health assess by non-md |
9,778 |
9,013 |
$330K |
| H2014 |
Skills train and dev, 15 min |
9,118 |
3,748 |
$210K |
| H0025 |
Alcohol and/or drug preventi |
25,889 |
7,466 |
$206K |
| H0020 |
Alcohol and/or drug services |
65,701 |
8,116 |
$202K |
| T1003 |
Lpn/lvn services up to 15min |
44,107 |
3,806 |
$120K |
| 99214 |
|
20,434 |
17,456 |
$102K |
| 99213 |
|
10,128 |
8,848 |
$51K |
| 90792 |
|
1,593 |
1,488 |
$49K |
| H0038 |
Self-help/peer svc per 15min |
6,148 |
2,856 |
$30K |
| A0110 |
Nonemergency transport bus |
12,568 |
3,981 |
$22K |
| T1013 |
Sign lang/oral interpreter |
6,295 |
3,813 |
$22K |
| T1002 |
Rn services up to 15 minutes |
3,849 |
3,007 |
$18K |
| S0215 |
Nonemerg transp mileage |
1,812 |
969 |
$3K |
| H0002 |
Alcohol and/or drug screenin |
160 |
156 |
$3K |
| A0120 |
Noner transport mini-bus |
2,221 |
1,007 |
$1K |
| 96156 |
|
816 |
764 |
$559.92 |
| 99215 |
Prolong outpt/office vis |
1,557 |
1,329 |
$288.78 |
| 90460 |
|
74 |
71 |
$207.35 |
| 90832 |
|
351 |
243 |
$162.66 |
| 96372 |
|
543 |
428 |
$76.50 |
| 99204 |
|
246 |
229 |
$40.75 |
| H2027 |
Psychoed svc, per 15 min |
159 |
104 |
$15.80 |
| 90853 |
|
194 |
103 |
$3.27 |
| 99203 |
|
115 |
94 |
$0.00 |
| 1159F |
|
24 |
19 |
$0.00 |
| 90837 |
|
134 |
93 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
205 |
196 |
$0.00 |
| 3078F |
|
478 |
423 |
$0.00 |
| 99173 |
|
68 |
55 |
$0.00 |
| 90682 |
|
16 |
15 |
$0.00 |
| 99212 |
|
879 |
681 |
$0.00 |
| 81002 |
|
271 |
190 |
$0.00 |
| 99201 |
|
19 |
19 |
$0.00 |
| 96160 |
|
103 |
85 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
14 |
12 |
$0.00 |
| 3077F |
|
33 |
30 |
$0.00 |
| 3079F |
|
253 |
214 |
$0.00 |
| 92551 |
|
70 |
57 |
$0.00 |
| 3074F |
|
613 |
530 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
75 |
57 |
$0.00 |
| 98941 |
|
291 |
85 |
$0.00 |
| 83036 |
|
126 |
94 |
$0.00 |
| 90471 |
|
98 |
80 |
$0.00 |
| 82962 |
|
86 |
56 |
$0.00 |
| S5110 |
Family homecare training 15m |
328 |
281 |
$0.00 |
| 96150 |
|
94 |
69 |
$0.00 |
| 90656 |
|
33 |
31 |
$0.00 |
| 3075F |
|
61 |
55 |
$0.00 |
| 90686 |
|
23 |
23 |
$0.00 |
| 0011A |
|
16 |
15 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
48 |
48 |
$0.00 |
| 99202 |
|
39 |
39 |
$0.00 |