| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90806 |
|
21,089 |
8,146 |
$7.64M |
| S5145 |
Child fostercare th per diem |
6,561 |
3,530 |
$6.24M |
| H0036 |
Comm psy face-face per 15min |
48,197 |
8,610 |
$5.16M |
| H2017 |
Psysoc rehab svc, per 15 min |
56,502 |
9,565 |
$4.69M |
| H0004 |
Alcohol and/or drug services |
19,790 |
4,416 |
$2.38M |
| H0041 |
Fos c chld non-ther per diem |
11,684 |
5,288 |
$2.14M |
| 90791 |
|
6,589 |
4,255 |
$1.15M |
| H0040 |
Assert comm tx pgm per diem |
405 |
404 |
$876K |
| H0038 |
Self-help/peer svc per 15min |
8,014 |
2,093 |
$476K |
| S5150 |
Unskilled respite care /15m |
1,406 |
379 |
$202K |
| 90792 |
|
818 |
641 |
$88K |
| 96127 |
|
942 |
632 |
$56K |
| U0002 |
Covid-19 lab test non-cdc |
862 |
481 |
$45K |
| 96110 |
|
460 |
460 |
$27K |
| 99213 |
|
306 |
261 |
$24K |
| 96161 |
|
315 |
315 |
$19K |
| H0049 |
Alcohol/drug screening |
212 |
210 |
$8K |
| G2023 |
Specimen collect covid-19 |
300 |
210 |
$7K |
| 99212 |
|
55 |
46 |
$5K |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$3K |
| 90460 |
|
132 |
130 |
$2K |
| 99204 |
|
13 |
13 |
$2K |
| 92551 |
|
67 |
66 |
$548.10 |
| 93000 |
|
13 |
13 |
$196.95 |
| 81002 |
|
13 |
13 |
$26.00 |