| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
81,403 |
17,107 |
$1.21M |
| H0038 |
Self-help/peer svc per 15min |
95,219 |
22,504 |
$699K |
| T1016 |
Case management |
59,611 |
20,761 |
$418K |
| H2012 |
Behav hlth day treat, per hr |
17,162 |
2,885 |
$146K |
| H0031 |
Mh health assess by non-md |
2,912 |
2,812 |
$145K |
| S0215 |
Nonemerg transp mileage |
13,808 |
3,030 |
$142K |
| H2019 |
Ther behav svc, per 15 min |
7,615 |
1,001 |
$108K |
| H2014 |
Skills train and dev, 15 min |
12,905 |
4,481 |
$73K |
| A0120 |
Noner transport mini-bus |
13,585 |
3,037 |
$72K |
| H2027 |
Psychoed svc, per 15 min |
741 |
295 |
$29K |
| H2016 |
Comp comm supp svc, per diem |
288 |
165 |
$12K |
| 90837 |
|
718 |
208 |
$9K |
| 90834 |
|
89 |
53 |
$2K |
| H0025 |
Alcohol and/or drug preventi |
26 |
26 |
$231.38 |
| A0110 |
Nonemergency transport bus |
2,634 |
749 |
$213.26 |
| 90853 |
|
361 |
75 |
$121.53 |
| H2020 |
Ther behav svc, per diem |
13 |
12 |
$0.00 |