| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
291,895 |
62,513 |
$6.41M |
| H2014 |
Skills train and dev, 15 min |
50,119 |
9,396 |
$1.97M |
| H0004 |
Alcohol and/or drug services |
6,354 |
2,446 |
$879K |
| H0031 |
Mh health assess by non-md |
5,082 |
4,985 |
$517K |
| 99214 |
|
10,558 |
9,902 |
$352K |
| T1002 |
Rn services up to 15 minutes |
17,197 |
12,760 |
$293K |
| H0038 |
Self-help/peer svc per 15min |
28,133 |
13,343 |
$280K |
| 99213 |
|
2,707 |
2,589 |
$148K |
| 99215 |
Prolong outpt/office vis |
4,962 |
4,684 |
$102K |
| A0110 |
Nonemergency transport bus |
11,677 |
8,976 |
$84K |
| H0034 |
Med trng & support per 15min |
5,541 |
1,872 |
$46K |
| H2019 |
Ther behav svc, per 15 min |
214 |
174 |
$29K |
| 90792 |
|
125 |
124 |
$13K |
| S5110 |
Family homecare training 15m |
390 |
151 |
$13K |
| S0215 |
Nonemerg transp mileage |
496 |
413 |
$11K |
| A0120 |
Noner transport mini-bus |
480 |
403 |
$6K |
| H2025 |
Supp maint employ, 15 min |
377 |
266 |
$5K |
| 99203 |
|
28 |
28 |
$3K |
| A0160 |
Noner transport case worker |
61 |
51 |
$1K |
| H0023 |
Alcohol and/or drug outreach |
49 |
30 |
$117.44 |
| H2027 |
Psychoed svc, per 15 min |
141 |
88 |
$99.78 |
| 90833 |
|
318 |
291 |
$0.00 |
| BPS15 |
|
20 |
19 |
$0.00 |