| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
50,331 |
5,085 |
$4.27M |
| T1016 |
Case management |
41,785 |
8,922 |
$2.46M |
| H0039 |
Asser com tx face-face/15min |
56,943 |
5,523 |
$1.82M |
| 99199 |
|
11,650 |
2,893 |
$671K |
| A9999 |
Dme supply or accessory, nos |
1,170 |
867 |
$140K |
| T1017 |
Targeted case management |
2,487 |
2,037 |
$113K |
| T2028 |
Special supply, nos waiver |
346 |
256 |
$42K |
| S5170 |
Homedelivered prepared meal |
95 |
89 |
$23K |
| 99214 |
|
482 |
343 |
$11K |
| S9484 |
Crisis intervention per hour |
233 |
141 |
$9K |
| T2025 |
Waiver service, nos |
173 |
173 |
$9K |
| 90837 |
|
189 |
88 |
$6K |
| H0030 |
Alcohol and/or drug hotline |
248 |
132 |
$5K |
| H0034 |
Med trng & support per 15min |
709 |
474 |
$4K |
| 90832 |
|
22 |
13 |
$673.51 |
| H0022 |
Alcohol and/or drug interven |
95 |
41 |
$156.70 |