| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
142,011 |
99,077 |
$29.02M |
| T1016 |
Case management |
787,847 |
291,622 |
$20.16M |
| H0004 |
Alcohol and/or drug services |
320,113 |
132,165 |
$18.42M |
| H0031 |
Mh health assess by non-md |
58,102 |
53,422 |
$4.44M |
| H0015 |
Alcohol and/or drug services |
23,053 |
4,991 |
$2.71M |
| 99214 |
|
58,298 |
51,729 |
$1.76M |
| H2019 |
Ther behav svc, per 15 min |
13,326 |
1,704 |
$1.30M |
| 90792 |
|
13,074 |
12,484 |
$916K |
| H2014 |
Skills train and dev, 15 min |
25,686 |
10,094 |
$479K |
| 99215 |
Prolong outpt/office vis |
11,099 |
9,051 |
$354K |
| A0110 |
Nonemergency transport bus |
11,777 |
5,909 |
$265K |
| H2011 |
Crisis interven svc, 15 min |
18,441 |
14,404 |
$256K |
| 99213 |
|
15,852 |
14,473 |
$247K |
| H0038 |
Self-help/peer svc per 15min |
10,967 |
5,488 |
$242K |
| T1002 |
Rn services up to 15 minutes |
5,805 |
4,263 |
$237K |
| H2027 |
Psychoed svc, per 15 min |
4,846 |
2,469 |
$89K |
| S0215 |
Nonemerg transp mileage |
6,328 |
3,125 |
$82K |
| S5110 |
Family homecare training 15m |
2,429 |
1,762 |
$75K |
| H0034 |
Med trng & support per 15min |
8,910 |
1,854 |
$58K |
| T1003 |
Lpn/lvn services up to 15min |
1,170 |
954 |
$56K |
| A0120 |
Noner transport mini-bus |
6,432 |
3,001 |
$42K |
| T1019 |
Personal care ser per 15 min |
1,308 |
505 |
$30K |
| 90837 |
|
223 |
160 |
$20K |
| 99204 |
|
355 |
333 |
$7K |
| 90853 |
|
621 |
281 |
$7K |
| 99385 |
|
440 |
406 |
$5K |
| H0025 |
Alcohol and/or drug preventi |
155 |
70 |
$4K |
| H0018 |
Alcohol and/or drug services |
130 |
12 |
$4K |
| 99202 |
|
84 |
65 |
$2K |
| H2025 |
Supp maint employ, 15 min |
94 |
84 |
$2K |
| 99212 |
|
487 |
417 |
$2K |
| H0002 |
Alcohol and/or drug screenin |
1,161 |
1,078 |
$2K |
| 90832 |
|
29 |
29 |
$1K |
| H2017 |
Psysoc rehab svc, per 15 min |
20 |
12 |
$486.08 |
| 36415 |
|
286 |
268 |
$297.09 |
| T1013 |
Sign lang/oral interpreter |
456 |
193 |
$231.80 |
| 0011A |
|
12 |
12 |
$107.76 |
| H0023 |
Alcohol and/or drug outreach |
372 |
249 |
$28.64 |
| 81003 |
|
16 |
14 |
$16.03 |
| 99386 |
|
49 |
41 |
$0.00 |
| 1126F |
|
68 |
68 |
$0.00 |
| 3074F |
|
46 |
46 |
$0.00 |
| 83036 |
|
12 |
12 |
$0.00 |
| 3079F |
|
37 |
37 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
29 |
15 |
$0.00 |
| 91301 |
|
18 |
17 |
$0.00 |
| 3078F |
|
42 |
42 |
$0.00 |
| 1159F |
|
191 |
187 |
$0.00 |
| 99203 |
|
131 |
124 |
$0.00 |
| A0160 |
Noner transport case worker |
640 |
345 |
$0.00 |
| 99395 |
|
53 |
41 |
$0.00 |
| H0046 |
Mental health service, nos |
1,770 |
43 |
$0.00 |