| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90806 |
|
6,436 |
3,275 |
$27.34M |
| H2013 |
Psych hlth fac svc, per diem |
7,849 |
791 |
$6.61M |
| T1018 |
School-based iep ser bundled |
59,519 |
5,048 |
$6.15M |
| 90837 |
|
37,365 |
20,272 |
$4.75M |
| 90847 |
|
21,550 |
14,779 |
$4.06M |
| H0040 |
Assert comm tx pgm per diem |
1,737 |
1,737 |
$3.10M |
| S5145 |
Child fostercare th per diem |
1,302 |
1,194 |
$2.28M |
| T2034 |
Crisis interven waiver/diem |
215 |
211 |
$1.97M |
| 90834 |
|
11,619 |
8,417 |
$1.57M |
| 90832 |
|
14,318 |
9,697 |
$1.43M |
| H2011 |
Crisis interven svc, 15 min |
6,939 |
5,256 |
$1.42M |
| T2022 |
Case management, per month |
3,340 |
3,340 |
$1.31M |
| 99213 |
|
10,209 |
8,963 |
$1.03M |
| H0041 |
Fos c chld non-ther per diem |
1,877 |
1,841 |
$738K |
| H0004 |
Alcohol and/or drug services |
4,549 |
745 |
$502K |
| 90791 |
|
2,551 |
2,514 |
$404K |
| 99214 |
|
3,903 |
3,387 |
$404K |
| 90846 |
|
3,317 |
2,716 |
$319K |
| 90792 |
|
739 |
735 |
$127K |
| H2012 |
Behav hlth day treat, per hr |
852 |
614 |
$63K |
| 99051 |
|
4,913 |
3,305 |
$58K |
| 90838 |
|
538 |
511 |
$52K |
| H0036 |
Comm psy face-face per 15min |
117 |
15 |
$10K |
| 90833 |
|
92 |
87 |
$5K |
| S5150 |
Unskilled respite care /15m |
29 |
12 |
$3K |
| 99212 |
|
13 |
13 |
$1K |