| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2014 |
Skills train and dev, 15 min |
269,224 |
31,853 |
$25.54M |
| T1016 |
Case management |
462,184 |
85,811 |
$25.26M |
| H0004 |
Alcohol and/or drug services |
70,753 |
26,442 |
$6.48M |
| S0215 |
Nonemerg transp mileage |
88,888 |
16,150 |
$2.56M |
| H2033 |
Multisys ther/juvenile 15min |
12,467 |
864 |
$2.02M |
| H0031 |
Mh health assess by non-md |
14,979 |
13,643 |
$1.91M |
| S5110 |
Family homecare training 15m |
22,795 |
8,380 |
$1.64M |
| A0120 |
Noner transport mini-bus |
87,576 |
16,018 |
$1.36M |
| 99214 |
|
10,408 |
9,613 |
$782K |
| 99213 |
|
9,641 |
9,053 |
$488K |
| 90792 |
|
1,153 |
1,073 |
$126K |
| T1013 |
Sign lang/oral interpreter |
3,637 |
1,014 |
$46K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,648 |
239 |
$28K |
| H0025 |
Alcohol and/or drug preventi |
1,244 |
599 |
$23K |
| 99212 |
|
585 |
570 |
$22K |
| H0023 |
Alcohol and/or drug outreach |
173 |
109 |
$4K |
| 96131 |
|
61 |
38 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
13 |
$1K |
| 99441 |
|
17 |
12 |
$69.52 |
| 90887 |
|
30 |
12 |
$0.00 |
| A0100 |
Nonemergency transport taxi |
1,245 |
127 |
$0.00 |