| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
129,704 |
9,765 |
$15.38M |
| T1016 |
Case management |
54,085 |
13,884 |
$4.34M |
| 99199 |
|
30,081 |
6,638 |
$2.34M |
| H0039 |
Asser com tx face-face/15min |
16,580 |
1,502 |
$562K |
| S9484 |
Crisis intervention per hour |
9,676 |
3,303 |
$483K |
| T1017 |
Targeted case management |
4,912 |
4,195 |
$246K |
| 90834 |
|
5,472 |
3,222 |
$177K |
| H0022 |
Alcohol and/or drug interven |
1,911 |
935 |
$67K |
| 99213 |
|
3,508 |
3,114 |
$59K |
| A9999 |
Dme supply or accessory, nos |
280 |
267 |
$51K |
| S5190 |
Wellness assessment by nonph |
129 |
121 |
$49K |
| H2011 |
Crisis interven svc, 15 min |
654 |
185 |
$30K |
| S5161 |
Emer rspns sys serv permonth |
2,698 |
2,693 |
$27K |
| S5170 |
Homedelivered prepared meal |
96 |
95 |
$23K |
| 92507 |
|
272 |
140 |
$13K |
| H0030 |
Alcohol and/or drug hotline |
330 |
302 |
$8K |
| H0005 |
Alcohol and/or drug services |
99 |
25 |
$1K |
| T2028 |
Special supply, nos waiver |
12 |
12 |
$1K |
| 90791 |
|
15 |
12 |
$959.72 |
| 90832 |
|
24 |
13 |
$222.08 |