| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
37,735 |
13,360 |
$1.58M |
| T1016 |
Case management |
67,811 |
29,091 |
$816K |
| H0031 |
Mh health assess by non-md |
8,604 |
7,856 |
$759K |
| H2014 |
Skills train and dev, 15 min |
13,080 |
5,889 |
$305K |
| 99214 |
|
4,712 |
4,300 |
$169K |
| 90833 |
|
1,757 |
1,687 |
$96K |
| 99213 |
|
1,978 |
1,849 |
$61K |
| S5110 |
Family homecare training 15m |
1,901 |
1,398 |
$37K |
| 90792 |
|
147 |
140 |
$15K |
| H0023 |
Alcohol and/or drug outreach |
603 |
478 |
$15K |
| S0215 |
Nonemerg transp mileage |
3,070 |
1,476 |
$12K |
| 99215 |
Prolong outpt/office vis |
100 |
86 |
$9K |
| H2027 |
Psychoed svc, per 15 min |
379 |
170 |
$8K |
| A0120 |
Noner transport mini-bus |
2,196 |
1,068 |
$5K |
| H0038 |
Self-help/peer svc per 15min |
456 |
219 |
$5K |
| T1002 |
Rn services up to 15 minutes |
327 |
279 |
$3K |
| 99212 |
|
429 |
396 |
$1K |
| A0110 |
Nonemergency transport bus |
2,535 |
683 |
$962.77 |
| A0160 |
Noner transport case worker |
75 |
53 |
$490.06 |
| A0100 |
Nonemergency transport taxi |
789 |
438 |
$485.16 |
| 99203 |
|
13 |
13 |
$474.68 |
| H0025 |
Alcohol and/or drug preventi |
300 |
81 |
$199.55 |
| 96130 |
|
13 |
12 |
$0.00 |
| 97151 |
|
23 |
12 |
$0.00 |