| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
21,137 |
10,449 |
$2.40M |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
3,872 |
3,712 |
$823K |
| S9484 |
Crisis intervention mental health services, per hour |
6,614 |
1,746 |
$307K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
856 |
825 |
$267K |
| T1005 |
Respite care services, up to 15 minutes |
842 |
443 |
$232K |
| S5190 |
Wellness assessment, performed by non-physician |
914 |
862 |
$226K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
6,573 |
486 |
$105K |
| T1017 |
Targeted case management, each 15 minutes |
2,345 |
1,876 |
$91K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
892 |
411 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,275 |
1,591 |
$41K |
| S0215 |
Non-emergency transportation; mileage, per mile |
531 |
210 |
$40K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
595 |
288 |
$37K |
| S9125 |
Respite care, in the home, per diem |
41 |
25 |
$12K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
450 |
196 |
$11K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
137 |
77 |
$7K |
| 99215 |
Prolong outpt/office vis |
148 |
128 |
$735.13 |