| Code | Description | Claims | Beneficiaries | Total Paid |
| H2021 |
Com wrap-around sv, 15 min |
59,667 |
4,227 |
$10.88M |
| T2016 |
Habil res waiver per diem |
17,648 |
554 |
$8.52M |
| H2017 |
Psysoc rehab svc, per 15 min |
22,301 |
2,353 |
$2.24M |
| H0004 |
Alcohol and/or drug services |
11,578 |
4,035 |
$988K |
| H2012 |
Behav hlth day treat, per hr |
5,142 |
473 |
$969K |
| T2022 |
Case management, per month |
2,692 |
2,332 |
$863K |
| H2010 |
Comprehensive med svc 15 min |
5,209 |
3,940 |
$794K |
| G9012 |
Other specified case mgmt |
10,637 |
1,800 |
$762K |
| H0047 |
Alcohol/drug abuse svc nos |
2,738 |
2,347 |
$701K |
| 99408 |
|
2,763 |
2,366 |
$686K |
| G9007 |
Mccd, sch team conf |
2,379 |
544 |
$226K |
| H2000 |
Comp multidisipln evaluation |
1,040 |
984 |
$190K |
| T1012 |
Alcohol/substance abuse skil |
77 |
41 |
$21K |
| Q3014 |
Telehealth facility fee |
93 |
86 |
$1K |