| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Comm psy face-face per 15min |
35,071 |
11,268 |
$3.46M |
| H0004 |
Alcohol and/or drug services |
22,010 |
6,726 |
$3.28M |
| H2017 |
Psysoc rehab svc, per 15 min |
31,100 |
7,490 |
$1.90M |
| S5150 |
Unskilled respite care /15m |
6,892 |
2,241 |
$1.19M |
| H2012 |
Behav hlth day treat, per hr |
7,995 |
605 |
$958K |
| S5151 |
Unskilled respitecare /diem |
3,250 |
1,400 |
$902K |
| T2022 |
Case management, per month |
1,770 |
1,770 |
$790K |
| 90791 |
|
3,940 |
3,120 |
$620K |
| H2015 |
Comp comm supp svc, 15 min |
2,771 |
1,861 |
$573K |
| S5145 |
Child fostercare th per diem |
778 |
769 |
$559K |
| 90834 |
|
2,717 |
1,443 |
$318K |
| H0041 |
Fos c chld non-ther per diem |
1,257 |
1,251 |
$314K |
| H2014 |
Skills train and dev, 15 min |
2,469 |
1,505 |
$288K |
| H2011 |
Crisis interven svc, 15 min |
1,139 |
426 |
$264K |
| 90832 |
|
2,639 |
1,547 |
$178K |
| 96130 |
|
531 |
232 |
$162K |
| 90837 |
|
756 |
507 |
$120K |
| 90882 |
|
1,217 |
520 |
$114K |
| 99214 |
|
739 |
640 |
$70K |
| 96131 |
|
119 |
70 |
$54K |
| 99213 |
|
433 |
337 |
$30K |
| 99215 |
Prolong outpt/office vis |
132 |
105 |
$23K |
| 96127 |
|
164 |
146 |
$15K |
| 99417 |
Prolong home eval add 15m |
84 |
83 |
$13K |
| H0049 |
Alcohol/drug screening |
89 |
89 |
$5K |
| 90846 |
|
153 |
118 |
$4K |
| 96112 |
|
122 |
84 |
$4K |
| T2015 |
Habil prevoc waiver per hr |
28 |
12 |
$3K |
| 99394 |
|
42 |
41 |
$3K |
| 90853 |
|
66 |
53 |
$2K |
| 99204 |
|
15 |
13 |
$2K |
| 99393 |
|
14 |
14 |
$1K |
| 92551 |
|
129 |
129 |
$932.36 |
| 90849 |
|
16 |
13 |
$691.65 |