| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
139,876 |
72,935 |
$3.45M |
| H0004 |
Alcohol and/or drug services |
45,037 |
17,405 |
$2.71M |
| H2010 |
Comprehensive med svc 15 min |
116,356 |
9,481 |
$1.17M |
| H0025 |
Alcohol and/or drug preventi |
10,976 |
4,209 |
$651K |
| H0031 |
Mh health assess by non-md |
5,026 |
4,904 |
$576K |
| H2014 |
Skills train and dev, 15 min |
11,822 |
4,618 |
$502K |
| H0020 |
Alcohol and/or drug services |
61,094 |
9,197 |
$332K |
| 99214 |
|
2,572 |
2,380 |
$100K |
| H0038 |
Self-help/peer svc per 15min |
1,968 |
832 |
$82K |
| T1003 |
Lpn/lvn services up to 15min |
6,368 |
881 |
$65K |
| 90792 |
|
449 |
433 |
$43K |
| S0215 |
Nonemerg transp mileage |
1,481 |
829 |
$35K |
| 99213 |
|
1,117 |
1,074 |
$31K |
| H2027 |
Psychoed svc, per 15 min |
419 |
171 |
$19K |
| A0120 |
Noner transport mini-bus |
1,376 |
746 |
$15K |
| 99215 |
Prolong outpt/office vis |
188 |
184 |
$10K |
| T1015 |
Clinic service |
64 |
48 |
$8K |
| A0110 |
Nonemergency transport bus |
7,895 |
1,300 |
$7K |
| H0002 |
Alcohol and/or drug screenin |
150 |
148 |
$2K |
| H2025 |
Supp maint employ, 15 min |
49 |
38 |
$991.49 |
| S5110 |
Family homecare training 15m |
16 |
13 |
$396.80 |
| T1013 |
Sign lang/oral interpreter |
2,139 |
1,102 |
$323.75 |
| H0001 |
Alcohol and/or drug assess |
12 |
12 |
$271.92 |
| 96372 |
|
41 |
36 |
$0.00 |