| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
62,475 |
15,485 |
$8.75M |
| H0041 |
Fos c chld non-ther per diem |
281,680 |
10,430 |
$4.30M |
| S5145 |
Child fostercare th per diem |
55,129 |
1,980 |
$2.72M |
| H0036 |
Comm psy face-face per 15min |
23,231 |
6,860 |
$2.34M |
| H2015 |
Comp comm supp svc, 15 min |
9,312 |
3,762 |
$2.03M |
| 90791 |
|
7,920 |
4,832 |
$1.88M |
| 99215 |
Prolong outpt/office vis |
1,976 |
1,473 |
$389K |
| 90837 |
|
786 |
298 |
$128K |
| H2014 |
Skills train and dev, 15 min |
1,011 |
494 |
$103K |
| 99214 |
|
411 |
361 |
$60K |
| H2011 |
Crisis interven svc, 15 min |
473 |
273 |
$59K |
| 90882 |
|
987 |
713 |
$48K |
| 96131 |
|
57 |
54 |
$34K |
| 96130 |
|
124 |
115 |
$33K |
| 99417 |
Prolong home eval add 15m |
164 |
154 |
$31K |
| 97803 |
|
380 |
115 |
$31K |
| 99213 |
|
228 |
91 |
$25K |
| 99212 |
|
364 |
361 |
$23K |
| H2017 |
Psysoc rehab svc, per 15 min |
227 |
108 |
$15K |