| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Res, nos waiver per diem |
3,303 |
2,538 |
$19.45M |
| T2025 |
Waiver service, nos |
6,155 |
4,222 |
$5.00M |
| H2017 |
Psysoc rehab svc, per 15 min |
52,131 |
21,963 |
$2.82M |
| H0039 |
Asser com tx face-face/15min |
31,991 |
3,457 |
$2.73M |
| T2017 |
Habil res waiver 15 min |
671 |
538 |
$2.16M |
| H0038 |
Self-help/peer svc per 15min |
36,218 |
3,051 |
$2.04M |
| H0031 |
Mh health assess by non-md |
16,881 |
16,054 |
$1.83M |
| 90837 |
|
17,175 |
11,772 |
$1.56M |
| H2015 |
Comp comm supp svc, 15 min |
28,025 |
15,297 |
$1.41M |
| T2015 |
Habil prevoc waiver per hr |
1,767 |
1,559 |
$996K |
| 99214 |
|
13,711 |
12,857 |
$895K |
| 99213 |
|
16,811 |
16,199 |
$846K |
| 90792 |
|
6,814 |
6,517 |
$707K |
| T1001 |
Nursing assessment/evaluatn |
16,715 |
13,917 |
$637K |
| T1003 |
Lpn/lvn services up to 15min |
263 |
226 |
$592K |
| 90834 |
|
6,374 |
5,243 |
$468K |
| T1002 |
Rn services up to 15 minutes |
2,163 |
1,952 |
$362K |
| 90832 |
|
6,815 |
5,545 |
$270K |
| H2011 |
Crisis interven svc, 15 min |
2,650 |
2,150 |
$234K |
| T2028 |
Special supply, nos waiver |
426 |
282 |
$82K |
| 90791 |
|
794 |
787 |
$74K |
| 99215 |
Prolong outpt/office vis |
734 |
705 |
$73K |
| T1016 |
Case management |
730 |
402 |
$45K |
| H0032 |
Mh svc plan dev by non-md |
408 |
391 |
$32K |
| H2014 |
Skills train and dev, 15 min |
597 |
99 |
$17K |
| H2010 |
Comprehensive med svc 15 min |
563 |
488 |
$11K |
| H0004 |
Alcohol and/or drug services |
39 |
25 |
$1K |
| 99212 |
|
25 |
25 |
$688.94 |
| 90833 |
|
187 |
152 |
$0.00 |