| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
107,048 |
40,654 |
$4.12M |
| H0004 |
Alcohol and/or drug services |
26,116 |
12,495 |
$1.41M |
| H0031 |
Mh health assess by non-md |
6,816 |
6,042 |
$1.02M |
| 99214 |
|
10,057 |
9,010 |
$774K |
| H0038 |
Self-help/peer svc per 15min |
6,190 |
3,496 |
$232K |
| H2016 |
Comp comm supp svc, per diem |
589 |
340 |
$181K |
| 99213 |
|
3,099 |
2,779 |
$149K |
| 90837 |
|
1,101 |
702 |
$121K |
| H0043 |
Supported housing, per diem |
166 |
160 |
$109K |
| H2027 |
Psychoed svc, per 15 min |
1,861 |
913 |
$79K |
| H0015 |
Alcohol and/or drug services |
417 |
116 |
$79K |
| H2020 |
Ther behav svc, per diem |
580 |
27 |
$75K |
| 99215 |
Prolong outpt/office vis |
486 |
432 |
$50K |
| T1003 |
Lpn/lvn services up to 15min |
2,394 |
1,975 |
$47K |
| 96372 |
|
3,114 |
2,592 |
$43K |
| S5110 |
Family homecare training 15m |
1,776 |
1,130 |
$34K |
| 90792 |
|
94 |
92 |
$20K |
| S0215 |
Nonemerg transp mileage |
1,852 |
1,070 |
$18K |
| A0120 |
Noner transport mini-bus |
1,837 |
1,058 |
$12K |
| H0001 |
Alcohol and/or drug assess |
435 |
426 |
$10K |
| H0023 |
Alcohol and/or drug outreach |
209 |
179 |
$10K |
| H0025 |
Alcohol and/or drug preventi |
869 |
612 |
$9K |
| 99212 |
|
208 |
176 |
$6K |
| H2014 |
Skills train and dev, 15 min |
2,592 |
1,060 |
$5K |
| 83036 |
|
384 |
378 |
$4K |
| 90791 |
|
17 |
15 |
$2K |
| 90853 |
|
54 |
30 |
$2K |
| A0110 |
Nonemergency transport bus |
2,731 |
1,677 |
$2K |
| 99000 |
|
141 |
129 |
$2K |
| 99396 |
|
13 |
12 |
$1K |
| 80305 |
|
129 |
111 |
$1K |
| H0034 |
Med trng & support per 15min |
223 |
165 |
$993.60 |
| 90686 |
|
34 |
33 |
$676.12 |
| 90471 |
|
19 |
17 |
$522.42 |
| H2025 |
Supp maint employ, 15 min |
160 |
98 |
$521.64 |
| T1019 |
Personal care ser per 15 min |
1,246 |
162 |
$470.19 |
| A6453 |
Self-adher band w <3"/yd |
487 |
369 |
$365.40 |
| 36415 |
|
107 |
101 |
$309.84 |
| 80354 |
|
87 |
72 |
$0.00 |