| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
21,750 |
9,458 |
$73K |
| H0043 |
Supported housing, per diem |
132 |
132 |
$71K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
7,170 |
3,591 |
$14K |
| H0031 |
Mental health assessment, by non-physician |
1,916 |
1,893 |
$6K |
| H2014 |
Skills training and development, per 15 minutes |
1,694 |
823 |
$2K |
| T1002 |
Rn services, up to 15 minutes |
876 |
719 |
$1K |
| H2010 |
Comprehensive medication services, per 15 minutes |
219 |
50 |
$869.44 |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
317 |
63 |
$582.75 |
| S0215 |
Non-emergency transportation; mileage, per mile |
481 |
337 |
$417.28 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
283 |
273 |
$207.92 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
480 |
340 |
$172.64 |
| H2027 |
Psychoeducational service, per 15 minutes |
3,565 |
1,336 |
$158.30 |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
157 |
127 |
$135.24 |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
1,785 |
1,092 |
$15.40 |
| H0038 |
Self-help/peer services, per 15 minutes |
179 |
133 |
$13.14 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
39 |
39 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
64 |
$0.00 |