| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5100 |
Adult daycare services 15min |
17,338 |
15,157 |
$20.82M |
| S5136 |
Adult companioncare per diem |
2,820 |
2,308 |
$12.50M |
| 90837 |
|
79,458 |
55,456 |
$8.62M |
| H2017 |
Psysoc rehab svc, per 15 min |
108,384 |
8,614 |
$7.46M |
| H0036 |
Comm psy face-face per 15min |
124,209 |
41,644 |
$6.50M |
| H2030 |
Mh clubhouse svc, per 15 min |
95,138 |
6,814 |
$6.32M |
| H2015 |
Comp comm supp svc, 15 min |
114,191 |
45,291 |
$6.16M |
| H2012 |
Behav hlth day treat, per hr |
55,447 |
4,790 |
$5.29M |
| T2015 |
Habil prevoc waiver per hr |
4,938 |
4,658 |
$4.76M |
| H2022 |
Com wrap-around sv, per diem |
13,636 |
1,732 |
$4.02M |
| 90834 |
|
49,465 |
38,035 |
$3.61M |
| 99213 |
|
57,952 |
52,121 |
$2.86M |
| H0018 |
Alcohol and/or drug services |
7,209 |
723 |
$2.65M |
| 90832 |
|
37,843 |
31,157 |
$2.11M |
| 90847 |
|
24,209 |
19,745 |
$2.03M |
| H0039 |
Asser com tx face-face/15min |
24,191 |
4,127 |
$1.92M |
| H2025 |
Supp maint employ, 15 min |
3,994 |
1,917 |
$1.43M |
| T1002 |
Rn services up to 15 minutes |
56,746 |
48,172 |
$1.18M |
| H0031 |
Mh health assess by non-md |
11,408 |
10,401 |
$1.05M |
| T2048 |
Bh ltc res r&b, per diem |
2,182 |
225 |
$863K |
| J2426 |
Inj, invega sustenna, 1 mg |
370 |
288 |
$832K |
| H0032 |
Mh svc plan dev by non-md |
36,617 |
34,027 |
$664K |
| 90846 |
|
7,201 |
6,107 |
$591K |
| 99214 |
|
7,467 |
6,789 |
$572K |
| 99215 |
Prolong outpt/office vis |
5,087 |
4,628 |
$566K |
| 90833 |
|
8,681 |
7,465 |
$394K |
| H0037 |
Comm psy sup tx pgm per diem |
1,696 |
358 |
$345K |
| 99212 |
|
11,095 |
9,360 |
$340K |
| 96372 |
|
28,221 |
22,832 |
$321K |
| H2021 |
Com wrap-around sv, 15 min |
4,998 |
930 |
$293K |
| 90853 |
|
14,804 |
4,681 |
$271K |
| J0401 |
Inj, abilify maintena, 1 mg |
152 |
105 |
$208K |
| H2023 |
Supported employ, per 15 min |
1,573 |
1,016 |
$200K |
| H0038 |
Self-help/peer svc per 15min |
7,020 |
2,889 |
$158K |
| S5135 |
Adult companioncare per 15m |
1,727 |
228 |
$149K |
| T1017 |
Targeted case management |
4,832 |
2,446 |
$97K |
| T1020 |
Personal care ser per diem |
52 |
48 |
$85K |
| 99205 |
Prolong outpt/office vis |
432 |
380 |
$64K |
| 90791 |
|
555 |
495 |
$55K |
| T2023 |
Targeted case mgmt per month |
54 |
39 |
$41K |
| H2011 |
Crisis interven svc, 15 min |
134 |
103 |
$11K |
| J1631 |
Haloperidol decanoate inj |
214 |
148 |
$10K |
| 90836 |
|
44 |
42 |
$3K |
| 99204 |
|
22 |
13 |
$2K |
| 80305 |
|
137 |
106 |
$155.34 |