| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Comm psy face-face per 15min |
82,470 |
32,317 |
$9.69M |
| H2017 |
Psysoc rehab svc, per 15 min |
95,585 |
14,610 |
$7.92M |
| T1019 |
Personal care ser per 15 min |
42,324 |
11,900 |
$1.02M |
| 90837 |
|
10,427 |
7,890 |
$971K |
| T1017 |
Targeted case management |
51,018 |
23,469 |
$853K |
| S5150 |
Unskilled respite care /15m |
3,038 |
1,470 |
$518K |
| H2021 |
Com wrap-around sv, 15 min |
8,725 |
5,890 |
$421K |
| 99213 |
|
7,097 |
6,827 |
$197K |
| S5110 |
Family homecare training 15m |
6,810 |
4,830 |
$191K |
| 99214 |
|
4,658 |
4,416 |
$181K |
| H2011 |
Crisis interven svc, 15 min |
867 |
615 |
$169K |
| 90834 |
|
2,423 |
2,061 |
$145K |
| T2038 |
Comm trans waiver/service |
2,833 |
2,201 |
$116K |
| 90791 |
|
976 |
952 |
$109K |
| 90847 |
|
621 |
532 |
$39K |
| A0425 |
Ground mileage |
1,108 |
449 |
$38K |
| T2003 |
N-et; encounter/trip |
1,093 |
365 |
$32K |
| 90832 |
|
965 |
776 |
$30K |
| 90792 |
|
214 |
210 |
$22K |
| 99366 |
|
761 |
615 |
$21K |
| A0100 |
Nonemergency transport taxi |
1,450 |
337 |
$16K |
| H0004 |
Alcohol and/or drug services |
214 |
141 |
$15K |
| 99212 |
|
383 |
364 |
$7K |
| H0038 |
Self-help/peer svc per 15min |
153 |
66 |
$7K |
| 96372 |
|
615 |
557 |
$6K |
| 90853 |
|
219 |
86 |
$4K |
| 99204 |
|
50 |
49 |
$4K |
| 99368 |
|
94 |
82 |
$3K |
| H0005 |
Alcohol and/or drug services |
23 |
14 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| H0032 |
Mh svc plan dev by non-md |
20 |
14 |
$985.00 |