| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
248,669 |
39,699 |
$35.39M |
| H2017 |
Psysoc rehab svc, per 15 min |
244,170 |
32,219 |
$32.47M |
| H2020 |
Ther behav svc, per diem |
60,190 |
4,455 |
$18.29M |
| H0023 |
Alcohol and/or drug outreach |
6,236 |
5,992 |
$6.73M |
| H0046 |
Mental health service, nos |
1,053 |
457 |
$3.34M |
| 90837 |
|
48,733 |
20,717 |
$1.19M |
| T2022 |
Case management, per month |
4,895 |
4,696 |
$991K |
| T1017 |
Targeted case management |
6,231 |
1,413 |
$372K |
| H2011 |
Crisis interven svc, 15 min |
3,601 |
3,007 |
$148K |
| H2014 |
Skills train and dev, 15 min |
12,154 |
2,183 |
$130K |
| 99214 |
|
7,904 |
7,029 |
$103K |
| 90834 |
|
7,747 |
3,834 |
$57K |
| H0040 |
Assert comm tx pgm per diem |
130 |
128 |
$54K |
| 90853 |
|
3,298 |
623 |
$42K |
| 99213 |
|
3,028 |
2,661 |
$27K |
| 90832 |
|
3,559 |
1,766 |
$14K |
| 90785 |
|
3,164 |
1,366 |
$6K |
| 90791 |
|
139 |
125 |
$4K |
| 99215 |
Prolong outpt/office vis |
516 |
476 |
$4K |
| 99443 |
|
256 |
166 |
$1K |
| 90792 |
|
79 |
78 |
$538.84 |
| 99212 |
|
39 |
30 |
$24.24 |
| T1002 |
Rn services up to 15 minutes |
50 |
27 |
$0.00 |
| S5101 |
Adult day care per half day |
4,418 |
964 |
$0.00 |
| S5102 |
Adult day care per diem |
135 |
52 |
$0.00 |
| T1016 |
Case management |
48 |
31 |
$0.00 |
| S5100 |
Adult daycare services 15min |
470 |
154 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
21 |
15 |
$0.00 |
| T2016 |
Habil res waiver per diem |
22,597 |
801 |
$0.00 |
| DONAT |
|
193 |
63 |
$0.00 |
| H2025 |
Supp maint employ, 15 min |
2,519 |
965 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
2,932 |
1,030 |
$0.00 |