| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2014 |
Skills train and dev, 15 min |
46,987 |
17,675 |
$834K |
| T1016 |
Case management |
60,523 |
25,985 |
$719K |
| H0004 |
Alcohol and/or drug services |
18,409 |
11,942 |
$519K |
| S0215 |
Nonemerg transp mileage |
33,657 |
10,588 |
$345K |
| H0031 |
Mh health assess by non-md |
6,591 |
6,491 |
$329K |
| H0038 |
Self-help/peer svc per 15min |
11,718 |
3,989 |
$181K |
| A0120 |
Noner transport mini-bus |
33,846 |
10,620 |
$171K |
| 99214 |
|
9,618 |
8,794 |
$120K |
| 90837 |
|
1,099 |
769 |
$103K |
| S5110 |
Family homecare training 15m |
1,159 |
720 |
$94K |
| S5150 |
Unskilled respite care /15m |
1,508 |
727 |
$23K |
| H2011 |
Crisis interven svc, 15 min |
646 |
589 |
$637.76 |
| S9484 |
Crisis intervention per hour |
104 |
102 |
$374.87 |
| S9485 |
Crisis intervention mental h |
330 |
204 |
$350.51 |
| 99215 |
Prolong outpt/office vis |
225 |
159 |
$0.00 |
| 99212 |
|
252 |
248 |
$0.00 |
| H0034 |
Med trng & support per 15min |
18 |
16 |
$0.00 |
| 80061 |
|
36 |
36 |
$0.00 |
| 99203 |
|
18 |
18 |
$0.00 |
| H2027 |
Psychoed svc, per 15 min |
79 |
65 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
72 |
49 |
$0.00 |
| 99442 |
|
38 |
36 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
1,529 |
1,332 |
$0.00 |
| Q3014 |
Telehealth facility fee |
26 |
26 |
$0.00 |
| 90792 |
|
221 |
208 |
$0.00 |
| 99213 |
|
2,179 |
2,128 |
$0.00 |
| 85025 |
|
44 |
43 |
$0.00 |
| 85009 |
|
19 |
19 |
$0.00 |
| H0025 |
Alcohol and/or drug preventi |
35 |
34 |
$0.00 |
| 84443 |
|
22 |
22 |
$0.00 |
| 80053 |
|
38 |
37 |
$0.00 |
| 90834 |
|
17 |
13 |
$0.00 |