| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
41,848 |
16,815 |
$3.54M |
| T1016 |
Case management |
116,375 |
33,178 |
$2.94M |
| H0031 |
Mh health assess by non-md |
7,207 |
5,899 |
$967K |
| H0038 |
Self-help/peer svc per 15min |
4,401 |
2,336 |
$154K |
| S5150 |
Unskilled respite care /15m |
2,165 |
257 |
$123K |
| H2027 |
Psychoed svc, per 15 min |
2,386 |
1,277 |
$83K |
| S5110 |
Family homecare training 15m |
2,300 |
1,000 |
$44K |
| H2016 |
Comp comm supp svc, per diem |
160 |
113 |
$35K |
| S0215 |
Nonemerg transp mileage |
1,803 |
166 |
$21K |
| H0025 |
Alcohol and/or drug preventi |
1,826 |
982 |
$20K |
| T1019 |
Personal care ser per 15 min |
155 |
86 |
$5K |
| H2014 |
Skills train and dev, 15 min |
571 |
219 |
$4K |
| A0120 |
Noner transport mini-bus |
1,629 |
146 |
$4K |
| H2025 |
Supp maint employ, 15 min |
118 |
70 |
$3K |
| H0034 |
Med trng & support per 15min |
148 |
116 |
$2K |
| S5151 |
Unskilled respitecare /diem |
102 |
35 |
$687.15 |
| 99213 |
|
15 |
13 |
$503.52 |