| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
88,591 |
42,296 |
$4.13M |
| H0004 |
Alcohol and/or drug services |
15,349 |
9,088 |
$1.03M |
| H0031 |
Mh health assess by non-md |
6,129 |
5,499 |
$861K |
| 99214 |
|
6,655 |
6,156 |
$511K |
| H0038 |
Self-help/peer svc per 15min |
7,510 |
3,813 |
$199K |
| T1003 |
Lpn/lvn services up to 15min |
3,943 |
3,361 |
$80K |
| H0015 |
Alcohol and/or drug services |
395 |
112 |
$75K |
| H2027 |
Psychoed svc, per 15 min |
1,258 |
674 |
$64K |
| H0043 |
Supported housing, per diem |
126 |
124 |
$63K |
| H2016 |
Comp comm supp svc, per diem |
129 |
92 |
$41K |
| 99213 |
|
817 |
744 |
$39K |
| 96372 |
|
1,709 |
1,477 |
$24K |
| 99215 |
Prolong outpt/office vis |
110 |
106 |
$14K |
| S5110 |
Family homecare training 15m |
615 |
410 |
$11K |
| 90792 |
|
84 |
77 |
$11K |
| H0001 |
Alcohol and/or drug assess |
390 |
386 |
$8K |
| H2014 |
Skills train and dev, 15 min |
2,099 |
829 |
$7K |
| H2020 |
Ther behav svc, per diem |
50 |
41 |
$7K |
| 99000 |
|
505 |
486 |
$6K |
| H0023 |
Alcohol and/or drug outreach |
207 |
174 |
$6K |
| 80305 |
|
406 |
331 |
$5K |
| 90837 |
|
17 |
12 |
$2K |
| S0215 |
Nonemerg transp mileage |
367 |
217 |
$2K |
| H0025 |
Alcohol and/or drug preventi |
365 |
319 |
$2K |
| 36415 |
|
413 |
402 |
$2K |
| A0110 |
Nonemergency transport bus |
1,610 |
1,040 |
$2K |
| H2019 |
Ther behav svc, per 15 min |
12 |
12 |
$2K |
| 99396 |
|
12 |
12 |
$1K |
| 83036 |
|
154 |
149 |
$1K |
| H2025 |
Supp maint employ, 15 min |
34 |
29 |
$644.28 |
| A0120 |
Noner transport mini-bus |
329 |
187 |
$624.16 |
| 99212 |
|
23 |
18 |
$583.79 |
| 90471 |
|
13 |
13 |
$310.41 |
| H0034 |
Med trng & support per 15min |
76 |
69 |
$296.12 |
| 81002 |
|
54 |
45 |
$184.60 |
| A6453 |
Self-adher band w <3"/yd |
144 |
117 |
$123.12 |
| T1013 |
Sign lang/oral interpreter |
1,429 |
743 |
$10.00 |
| 94760 |
|
16 |
15 |
$0.00 |